Individual
ANA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN RN
Contact information
Practice address
530 NW 27TH ST, CORVALLIS, OR 97330-5223
(541) 766-6835
(541) 766-6186
Mailing address
530 NW 27TH ST, CORVALLIS, OR 97330-5223
(541) 766-6835
(541) 766-6186
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
10028575
OR
3747A0650X
Attendant Care Provider
—
—
Other
Enumeration date
04/12/2019
Last updated
10/02/2024
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