Organization
DR STEVEN CLARK AND ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN CLARK O.D. (OPTOMETRIST)
(503) 618-1119
Entity
Organization
Contact information
Practice address
697 NW DIVISION ST, GRESHAM, OR 97030-5424
(503) 618-1119
(503) 661-1298
Mailing address
697 NW DIVISION ST, GRESHAM, OR 97030-5424
(503) 618-1119
(503) 661-1298
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
2307-AT
OR
Other
Enumeration date
01/15/2016
Last updated
03/11/2016
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