Jeffrey M Clark, PA-C
NPI #1063451193 in Vancouver, Washington
Provider Information
- NPI Number
- 1063451193
- Entity Type
- Individual
- Name
- Jeffrey M Clark, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Jun 5, 2006
- Last Updated
- Sep 26, 2012
Practice Location
- Address
- 600 NE 92ND AVE
- City
- Vancouver
- State
- Washington
- ZIP Code
- 98664-3225
- Phone
- (360) 514-2142
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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