MARK W CLARK

VANCOUVER, WA
NPI1114081577
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: WA  PY2226)
Additional Taxonomies103TF0200X Psychologist, Forensic
(Licence: WA  PY2226)
Enumeration Date2006-12-20
Last Update Date2007-07-09
Business Address
-- MARK W CLARK Psy.D.
7507 NE 51ST ST
VANCOUVER, WA 98662-6007
Phone number: 360-906-1190
Mailing Address
-- MARK W CLARK Psy.D.
PO BOX 82819
PORTLAND, OR 97282-0819
Phone number: 503-233-5405