Mary Clark
NPI #1285043372 in White City, Oregon
Provider Information
- NPI Number
- 1285043372
- Entity Type
- Individual
- Name
- Mary Clark
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Registered Nurse
- Enumeration Date
- Aug 4, 2014
- Last Updated
- Aug 4, 2014
Practice Location
- Address
- 8495 CRATER LAKE HWY
- City
- White City
- State
- Oregon
- ZIP Code
- 97503-3011
- Phone
- (541) 826-2111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Registered Nurse - Case Management — Case Management |
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