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1356357958
WAYNE MARSTON CLARK
PORTLAND, OR
NPI
1356357958
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: OR MD16591)
Enumeration Date
2006-08-01
Last Update Date
2007-07-08
Business Address
WAYNE MARSTON CLARK MD
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-7772
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Mailing Address
WAYNE MARSTON CLARK MD
8610 SW 62ND AVE
PORTLAND, OR 97219-3171
Phone number:
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