Individual
MRS. JOLYNN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ABO, NCLE
Contact information
Practice address
19500 SE STARK ST, PORTLAND, OR 97233-5757
(503) 669-3995
(503) 669-3956
Mailing address
19500 SE STARK ST, PORTLAND, OR 97233-5757
(503) 669-3995
(503) 669-3956
Taxonomy
Speciality
Code
Description
License number
State
156FC0801X
Contact Lens Fitter
Primary
—
—
Other
Enumeration date
05/29/2008
Last updated
05/29/2008
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