DUSTIN J CLARK

PORTLAND, OR
NPI1235757915
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1835P2201X Pharmacist, Ambulatory Care
(Licence: OR  RPH-0017464)
Enumeration Date2020-07-09
Last Update Date2020-07-09
Business Address
DUSTIN J CLARK PharmD
4400 NE HALSEY ST STE 490
PORTLAND, OR 97213-1545
Phone number: 503-893-6900
Mailing Address
DUSTIN J CLARK PharmD
8423 SW POINTER WAY APT M
PORTLAND, OR 97225-7316
Phone number: 541-301-5735