Individual
BARBARA ANNE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
18122 SW LOWER BOONES FERRY RD, TIGARD, OR 97224-7216
(503) 639-2118
Mailing address
33399 NE PARRETT MTN. RD., NEWBERG, OR 97132
(503) 538-6419
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0627
OR
Other
Enumeration date
12/18/2008
Last updated
12/18/2008
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