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Individual

DR. TYLER ASPINWALL CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2349 NE CONNERS AVE, BEND, OR 97701
(541) 317-0044
(541) 728-0707
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 339-5408

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD171002
OR
2084N0400X
Neurology Physician
MD60737259
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2026434
WA
Enumeration date
04/04/2011
Last updated
07/21/2021
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