SHIRELLE LATRICE CLARK

PORTLAND, OR
NPI1144797085
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OR  10003750)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: GA  RN228546)
Enumeration Date2018-10-29
Last Update Date2023-03-21
Business Address
SHIRELLE LATRICE CLARK NP
3303 S BOND AVE
PORTLAND, OR 97239-4501
Phone number: 503-494-6594
Mailing Address
SHIRELLE LATRICE CLARK NP
1400 SW 5TH AVE STE 500
PORTLAND, OR 97201-5537
Phone number: 866-617-6855