GRACE CLARK

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1831879220

Practice Address

3716 NE MLK JR BLVD
Portland, OR 97212

Phone: (503) 288-8066

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X Yes -

Frequently Asked Questions

NPI 1831879220 is the National Provider Identifier for GRACE CLARK, a Student in an Organized Health Care Education/Training Program provider located in Portland, OR. This NPI was enumerated on July 20, 2023.
GRACE CLARK practices at 3716 NE MLK JR BLVD, Portland, OR 97212.

Quick Facts

NPI
1831879220
Type
Individual
Enumerated
Jul 20, 2023
Last Updated
Jul 20, 2023

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