Ellis Richard Clark, MD
Ellis Richard Clark, MD is an Anesthesiology Physician in Salem, Oregon. Licensed in Oregon. Registered with an NPI since 2006.
- Licensed in
- OR
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
700 Bellevue St SE Ste 300Salem, OR 97301-3819
Phone: (503) 364-3704
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Anesthesiology Physician (primary) | Taxonomy 207L00000X · Licence MD15586 (OR) |
|---|
Record details
| NPI number | 1750318812 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | June 26, 2006 |
| Last updated in NPPES | July 8, 2007 |
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