Dr. Kim M Clark & Associates LLC

NPI #1013141696 in Portland, Oregon

Provider Information

NPI Number: 1013141696
Entity Type: Organization
Organization Name: Dr. Kim M Clark & Associates LLC
Primary Specialty: Optometrist
Enumeration Date: May 11, 2009
Last Updated: May 11, 2009

Practice Location

Address: 12000 SE 82ND AVENUE
Address 2: #2012
City: Portland
State: Oregon
ZIP Code: 97266-7721
Phone: (503) 652-6001

Authorized Official

Name: KIM M CLARK, OD
Title: OWNER
Phone: (503) 292-4033

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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