Nicholas L Clark, Od, LLC
NPI #1548513583 in Mcminnville, Oregon
Provider Information
- NPI Number
- 1548513583
- Entity Type
- Organization
- Organization Name
- Nicholas L Clark, Od, LLC
- Primary Specialty
- Optometrist
- Enumeration Date
- Oct 15, 2012
- Last Updated
- Jul 29, 2015
Practice Location
- Address
- 2185 NW 2ND ST
- City
- Mcminnville
- State
- Oregon
- ZIP Code
- 97128-9108
- Phone
- (503) 435-1231
Authorized Official
- Name
- NICHOLAS L CLARK, O.D.
- Title
- OPTOMETRIST
- Phone
- (503) 435-1231
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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