Organization
COMPREHENSIVE PAIN CLINIC OF PORTLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEAN ALLEN CLARK D.C. (OWNER)
(503) 244-3389
Entity
Organization
Contact information
Practice address
6105 SW MACADAM AVE, PORTLAND, OR 97239-3640
(503) 244-3389
Mailing address
6105 SW MACADAM AVE, PORTLAND, OR 97239-3640
(503) 244-3389
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
1856
OR
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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