MR. Albert Wayne Clark JR.

NPI #1588150965 in Springfield, Oregon

Provider Information

NPI Number: 1588150965
Entity Type: Individual
Name: MR. Albert Wayne Clark JR.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Home Health Aide
Enumeration Date: Jul 9, 2018
Last Updated: Jul 9, 2018

Practice Location

Address: 4343 MAIN ST
City: Springfield
State: Oregon
ZIP Code: 97478-7647
Phone: (541) 200-7037

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health Aide	374U00000X	Primary

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