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1093241838
DR PATRICIA CLARK
PORTLAND, OR
NPI
1093241838
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Entity Type
Organization
Authorized Contact
PATRICIA CLARK
Owner
503-294-0940
Organization Subpart ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: OR 1456)
Enumeration Date
2017-05-11
Last Update Date
2017-05-11
Business Address
DR PATRICIA CLARK
1132 SW 19TH AVE
PORTLAND, OR 97205-1740
Phone number: 503-241-5452
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Mailing Address
DR PATRICIA CLARK
1132 SW 19TH AVE
PORTLAND, OR 97205-1740
Phone number: 503-241-5452
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