Individual
ALISON LEE CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
700 WASHINGTON ST STE 105, VANCOUVER, WA 98660-3181
(360) 816-7380
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
DO201207
OR
207Q00000X
Family Medicine Physician
Primary
OP61083960
WA
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
DO201207
OR
Other
Enumeration date
06/07/2016
Last updated
05/06/2024
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