Individual
DR. HUDSON PASS CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
7727 NE GLISAN ST, PORTLAND, OR 97213-6360
(503) 490-5647
(503) 254-4749
Mailing address
15905 SE OATFIELD RD, MILWAUKIE, OR 97267-3933
(035) 317-6287
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5833
OR
Other
Enumeration date
07/18/2017
Last updated
06/13/2024
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