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1013337112
MAX CLARK
PORTLAND, OR
NPI
1013337112
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
237700000X Hearing Instrument Specialist
(Licence: OR HAS-P-614565)
Enumeration Date
2014-04-16
Last Update Date
2014-04-16
Business Address
MR. MAX CLARK
11919 NE GLISAN ST
PORTLAND, OR 97220-2144
Phone number: 503-408-0972
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Mailing Address
MR. MAX CLARK
11919 NE GLISAN ST
PORTLAND, OR 97220-2144
Phone number: 503-408-0972
Copy
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