Organization
NICHOLAS L CLARK, OD, LLC
Active
Other names
McMinnville Family Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS L CLARK O.D. (OPTOMETRIST)
(503) 435-1231
Entity
Organization
Contact information
Practice address
2185 NW 2ND ST, MCMINNVILLE, OR 97128-9108
(503) 435-1231
(503) 435-0151
Mailing address
2185 NW 2ND ST, MCMINNVILLE, OR 97128-9108
(503) 435-1231
(503) 435-0151
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3319ATI
OR
Other
Enumeration date
10/15/2012
Last updated
07/29/2015
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