JEFFREY A CLARK

PORTLAND, OR
NPI1356461750
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: OR  rph0010544)
Enumeration Date2007-03-30
Last Update Date2007-07-08
Business Address
-- JEFFREY A CLARK rph
600 NW 10TH AVE
PORTLAND, OR 97209-3202
Phone number: 503-227-4835
Mailing Address
-- JEFFREY A CLARK rph
16170 SE GOOSEHOLLOW DR
DAMASCUS, OR 97015-7885
Phone number:
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