Organization
TREVOR J. CLARK PLLC
Active
Other names
Trevor J. Clark, East County Chiropractic, Clark Bodyworks
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TREVOR CLARK DC (OWNER)
(971) 285-5861
Entity
Organization
Contact information
Practice address
1437 NE EVERETT ST, CAMAS, WA 98607-1366
(971) 285-5861
Mailing address
PO BOX 722, CAMAS, WA 98607-0722
(971) 285-5861
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2042469
—
WA
Enumeration date
02/23/2023
Last updated
02/23/2023
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