Individual
DR. DEAN ALLEN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
6105 S.W. MACADAM AVE., PORTLAND, OR 97239-3264
(503) 244-3389
Mailing address
6105 SW MACADAM AVE, PORTLAND, OR 97239-3647
(503) 244-3389
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
1856
OR
Other
Enumeration date
06/21/2006
Last updated
07/08/2007
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