Individual
MRS. JULIA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
557 W WASHINGTON ST, BURNS, OR 97720-1441
(541) 573-8614
Mailing address
557 W WASHINGTON ST, BURNS, OR 97720-1441
(541) 573-8614
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
OR
174H00000X
Health Educator
—
—
Other
Enumeration date
06/29/2018
Last updated
06/29/2018
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