Individual
JULIANNA K CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
16261 HIGHWAY 101 S, HARBOR, OR 97415-9499
(541) 469-3121
Mailing address
15124 SE YAMHILL ST, PORTLAND, OR 97233-2949
(510) 304-3086
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0017134
OR
Other
Enumeration date
05/05/2019
Last updated
05/05/2019
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