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1215091095
KIM M CLARK
PORTLAND, OR
NPI
1215091095
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Professional Name
KIM M CLARK
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: OR 2911ATI)
Enumeration Date
2006-12-19
Last Update Date
2009-05-11
Business Address
Dr. KIM M CLARK O.D.
12000 SE 82ND AVENUE #2012
PORTLAND, OR 97266-7721
Phone number: 503-652-6001
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Mailing Address
Dr. KIM M CLARK O.D.
2318 NW EDGEWOOD PL
PORTLAND, OR 97229-7618
Phone number: 503-292-4033
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