CLARK HAZEL

PORTLAND, OR
NPI1184238024
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  L14056)
Enumeration Date2020-09-08
Last Update Date2024-12-17
Business Address
CLARK HAZEL
14600 NW CORNELL RD
PORTLAND, OR 97229-5442
Phone number: 503-645-3581
Mailing Address
CLARK HAZEL
PO BOX 3808
PORTLAND, OR 97208-3808
Phone number: 503-413-3900
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