MR. JEREMIAH CLARK, M.S. CCC-SLP

Speech-Language Pathologist

Active Individual
NPI: 1750656708

Practice Address

74 N 3RD ST
Creswell, OR 97426

Phone: (541) 221-1262

Specialties

Specialty Code Primary License
Speech-Language Pathologist 235Z00000X Yes 13589 (OR)

Frequently Asked Questions

NPI 1750656708 is the National Provider Identifier for MR. JEREMIAH CLARK, M.S. CCC-SLP, a Speech-Language Pathologist provider located in Creswell, OR. This NPI was enumerated on March 8, 2012.
MR. JEREMIAH CLARK, M.S. CCC-SLP practices at 74 N 3RD ST, Creswell, OR 97426.

Quick Facts

NPI
1750656708
Type
Individual
Enumerated
Mar 8, 2012
Last Updated
Mar 8, 2012

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