Individual
MONICA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
U
Credential
PT
Contact information
Practice address
11855 NE GLENN WIDING DR BLDG F, PORTLAND, OR 97220-9057
(971) 205-9303
Mailing address
11855 NE GLENN WIDING DR BLDG F, PORTLAND, OR 97220-9057
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
06105
OR
Other
Enumeration date
05/04/2024
Last updated
05/04/2024
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