Individual
ANN ELIZABETH CLARK-DELOGU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
608 LANCASTER DR SE, SALEM, OR 97317-5643
(503) 877-1995
Mailing address
11720 SE ALDER ST, PORTLAND, OR 97216-3868
(206) 902-7168
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
4330
OR
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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