Individual
DR. DANICA E CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1011 COMMERCIAL ST NE STE 110, SALEM, OR 97301-1036
(503) 983-9900
(503) 983-9899
Mailing address
1011 COMMERCIAL ST NE STE 110, SALEM, OR 97301-1036
(503) 983-9900
(503) 983-9899
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD154535
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500644845
—
OR
Enumeration date
10/16/2007
Last updated
11/24/2025
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