Individual
ABIGAIL B CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1859 RAMBLING DR, SPRINGFIELD, OR 97477-2417
(541) 505-7386
(541) 653-9155
Mailing address
1859 RAMBLING DR, SPRINGFIELD, OR 97477-2417
(541) 505-7386
(541) 653-9155
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
202100634RN
OR
Other
Enumeration date
04/14/2021
Last updated
04/14/2021
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