Individual
ADAM WILLIAM CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2650 SUZANNE WAY STE 200, EUGENE, OR 97408-7619
(541) 228-3130
(541) 228-3187
Mailing address
2650 SUZANNE WAY STE 200, EUGENE, OR 97408-7619
(541) 228-3130
(541) 228-3187
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8028
OR
Other
Enumeration date
06/03/2008
Last updated
06/03/2008
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