KIM M CLARK

PORTLAND, OR
NPI1215091095
Professional NameKIM M CLARK
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: OR  2911ATI)
Enumeration Date2006-12-19
Last Update Date2009-05-11
Business Address
Dr. KIM M CLARK O.D.
12000 SE 82ND AVENUE #2012
PORTLAND, OR 97266-7721
Phone number: 503-652-6001
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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