Individual
MRS. LINDSEY JOHNSON CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1693 SW CHANDLER AVE STE 250, BEND, OR 97702-3231
(541) 382-8819
Mailing address
1693 SW CHANDLER AVE STE 250, BEND, OR 97702-3231
(541) 382-8819
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA199666
OR
Other
Enumeration date
07/31/2012
Last updated
07/21/2022
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