DR. Kim M Clark, O.D.

NPI #1215091095 in Portland, Oregon

Provider Information

NPI Number: 1215091095
Entity Type: Individual
Name: DR. Kim M Clark, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Dec 19, 2006
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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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