MR. Brandon Clark

NPI #1528256955 in Springfield, Oregon

Provider Information

NPI Number: 1528256955
Entity Type: Individual
Name: MR. Brandon Clark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Oct 10, 2007
Last Updated: Oct 10, 2007

Practice Location

Address: 3995 MARCOLA RD
City: Springfield
State: Oregon
ZIP Code: 97477-7948
Phone: (541) 726-1465

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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