| NPI | 1598285777 |
|---|---|
| Doing Business As | DR. TYLER L. CLARK |
| Entity Type | Organization |
| Authorized Contact | ESTHER MASTRANDREA Office Manager 503-245-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OR D10177) |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2022-07-21 |