MARY CLARK

WHITE CITY, OR
NPI1285043372
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: OR  200540995RN)
Additional Taxonomies163WC0400X Registered Nurse, Case Management
(Licence: OR  200540995RN)
Enumeration Date2014-08-04
Last Update Date2014-08-04
Business Address
-- MARY CLARK
8495 CRATER LAKE HWY
WHITE CITY, OR 97503-3011
Phone number: 541-826-2111
Mailing Address
-- MARY CLARK
8495 CRATER LAKE HWY
WHITE CITY, OR 97503-3011
Phone number: 541-826-2111