Individual
MELANIE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
805 SE 151ST AVE, PORTLAND, OR 97233-2916
(971) 271-7270
Mailing address
805 SE 151ST AVE, PORTLAND, OR 97233-2916
(971) 302-6046
(971) 302-6055
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
05/30/2015
Last updated
05/30/2015
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