Individual
JESSICA CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, DEPT PSYCHIATRY MAIL CODE UHN-80, PORTLAND, OR 97239-3098
(503) 949-8311
(503) 494-6152
Mailing address
3181 SW SAM JACKSON PARK RD, DEPT PSYCHIATRY MAIL CODE UHN-80, PORTLAND, OR 97239-3098
(503) 949-8311
(503) 494-6152
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD150860
OR
Other
Enumeration date
08/20/2007
Last updated
06/17/2011
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