Organization
JEFF CLARK ND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFF CLARK ND (PRESIDENT)
(503) 755-1400
Entity
Organization
Contact information
Practice address
8555 SW TUALATIN RD, TUALATIN, OR 97062-8614
(503) 755-1400
(503) 755-1401
Mailing address
15234 SW BURGUNDY ST, TIGARD, OR 97224-1180
(503) 755-1400
(503) 755-1401
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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