Michael Roy Clark
Michael Roy Clark is a Technician in Portland, Oregon. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
4212 SE Division St Ste 100Portland, OR 97206-1680
Phone: (503) 238-0705
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Technician (primary) | Taxonomy 374700000X |
|---|
Record details
| NPI number | 1801613344 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 25, 2024 |
| Last updated in NPPES | September 25, 2024 |
| Certification date | September 25, 2024 |
| Mailing address | Po Box 8459, Portland, OR 97207-8459 |
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