Individual
REBECCA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9555 SW BARNES RD, SUITE 150, PORTLAND, OR 97225-6663
(503) 297-7403
(503) 384-9908
Mailing address
9555 SW BARNES RD, SUITE 150, PORTLAND, OR 97225-6663
(503) 297-7403
(503) 384-9908
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
OR
Other
Enumeration date
02/06/2015
Last updated
02/06/2015
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