Individual
JACINDA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
610 NW 11TH ST, HERMISTON, OR 97838-6601
(541) 667-3533
Mailing address
78767 N LOOP RD, STANFIELD, OR 97875-4570
(509) 774-8887
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
201403713RN
OR
Other
Enumeration date
03/01/2025
Last updated
03/01/2025
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