MAX CLARK

PORTLAND, OR
NPI1013337112
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy237700000X Hearing Instrument Specialist
(Licence: OR  HAS-P-614565)
Enumeration Date2014-04-16
Last Update Date2014-04-16
Business Address
MR. MAX CLARK
11919 NE GLISAN ST
PORTLAND, OR 97220-2144
Phone number: 503-408-0972
Mailing Address
MR. MAX CLARK
11919 NE GLISAN ST
PORTLAND, OR 97220-2144
Phone number: 503-408-0972
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