Dr. Heidi Clark

NPI #1578819900 in Beaverton, Oregon

Provider Information

NPI Number: 1578819900
Entity Type: Organization
Organization Name: Dr. Heidi Clark
Primary Specialty: Naturopath
Enumeration Date: Aug 3, 2012
Last Updated: Aug 3, 2012

Practice Location

Address: 12195 SW ALLEN BLVD
City: Beaverton
State: Oregon
ZIP Code: 97005-4720
Phone: (503) 646-0697

Authorized Official

Name: HEIDI CLARK
Title: OWNER
Phone: (503) 646-0697

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X
Naturopath	175F00000X	Primary

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