Individual
ASHLEY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13002 SW 2ND STREET, BEAVERTON, OR 97005
(503) 259-5045
(503) 356-4371
Mailing address
PO BOX 6149, ALOHA, OR 97007-0149
(503) 352-8642
(503) 352-8658
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA195599
OR
Other
Enumeration date
09/26/2019
Last updated
10/13/2021
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