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1013141696
DR. KIM M CLARK & ASSOCIATES LLC
PORTLAND, OR
NPI
1013141696
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Entity Type
Organization
Authorized Contact
KIM M CLARK
Owner
503-292-4033
Organization Subpart ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: OR 2911ATI)
Enumeration Date
2009-05-11
Last Update Date
2009-05-11
Business Address
DR. KIM M CLARK & ASSOCIATES LLC
12000 SE 82ND AVENUE #2012
PORTLAND, OR 97266-7721
Phone number: 503-652-6001
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Mailing Address
DR. KIM M CLARK & ASSOCIATES LLC
2318 NW EDGEWOOD PL
PORTLAND, OR 97229-7618
Phone number: 503-292-4033
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