Individual
KAI LING CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3838 PACIFIC AVE, FOREST GROVE, OR 97116-2224
(503) 357-1706
(503) 270-5023
Mailing address
3838 PACIFIC AVE, FOREST GROVE, OR 97116-2224
(503) 357-1706
(503) 270-5023
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
63800
OR
Other
Enumeration date
01/29/2021
Last updated
06/04/2021
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