Individual
DR. JEFF CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.D.
Contact information
Practice address
8905 SW NIMBUS AVE STE 140, BEAVERTON, OR 97008-7103
(503) 755-1400
(503) 755-1400
Mailing address
15234 SW BURGUNDY ST, TIGARD, OR 97224-3911
(503) 449-0476
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
1602
OR
Other
Enumeration date
05/11/2008
Last updated
03/08/2022
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