ALEXANDER VICTOR CLARK

PORTLAND, OR
NPI1477443711
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: OR  10041823)
Enumeration Date2025-07-08
Last Update Date2025-07-08
Business Address
ALEXANDER VICTOR CLARK
3455 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239-3076
Phone number: 601-209-3402
Mailing Address
ALEXANDER VICTOR CLARK
476 SW 150TH AVE
BEAVERTON, OR 97006-5759
Phone number: 601-209-3402