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1477443711
ALEXANDER VICTOR CLARK
PORTLAND, OR
NPI
1477443711
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: OR 10041823)
Enumeration Date
2025-07-08
Last Update Date
2025-07-08
Business Address
ALEXANDER VICTOR CLARK
3455 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239-3076
Phone number: 601-209-3402
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Mailing Address
ALEXANDER VICTOR CLARK
476 SW 150TH AVE
BEAVERTON, OR 97006-5759
Phone number: 601-209-3402
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