JEFFREY M CLARK

VANCOUVER, WA
NPI1063451193
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WA  PA10002763)
Enumeration Date2006-06-05
Last Update Date2012-09-26
Business Address
-- JEFFREY M CLARK PA-C
600 NE 92ND AVE
VANCOUVER, WA 98664-3225
Phone number: 360-514-2142
Mailing Address
-- JEFFREY M CLARK PA-C
FILE 742997
LOS ANGELES, CA 90074-2997
Phone number: 360-514-2142
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