Individual
MRS. GEORGANNE M. CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.P.M.
Contact information
Practice address
1009 W 1ST AVE, EUGENE, OR 97402-4905
(541) 517-4268
Mailing address
1009 W 1ST AVE, EUGENE, OR 97402-4905
(541) 517-4268
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
06/08/2008
Last updated
06/08/2008
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