Individual
JULIANA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10700 SW BEAVERTON HILLSDALE HWY, BEAVERTON, OR 97005-3019
(503) 641-1475
(503) 641-8548
Mailing address
10700 SW BEAVERTON HILLSDALE HWY, BEAVERTON, OR 97005-3019
(503) 641-1475
(503) 641-8548
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/06/2016
Last updated
03/12/2019
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