Nicholas L Clark, O.D.

NPI #1760710958 in Mcminnville, Oregon

Provider Information

NPI Number: 1760710958
Entity Type: Individual
Name: Nicholas L Clark, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Nov 25, 2009
Last Updated: Jul 29, 2015

Practice Location

Address: 2185 NW 2ND ST
City: Mcminnville
State: Oregon
ZIP Code: 97128-9108
Phone: (503) 435-1231

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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