Individual
DR. CARA DAWN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.D.
Contact information
Practice address
3565 SE LINCOLN ST, PORTLAND, OR 97214-5859
(503) 680-1350
Mailing address
3565 SE LINCOLN ST, PORTLAND, OR 97214-5859
(503) 680-1350
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
1584
OR
Other
Enumeration date
11/15/2007
Last updated
11/15/2007
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