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1598316846
ASHLEY CLARK
BEAVERTON, OR
NPI
1598316846
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Former Name
ASHLEY AMICK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR PA195599)
Enumeration Date
2019-09-26
Last Update Date
2021-10-13
Business Address
ASHLEY CLARK
13002 SW 2ND STREET
BEAVERTON, OR 97005
Phone number: 503-259-5045
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Mailing Address
ASHLEY CLARK
PO BOX 6149
ALOHA, OR 97007-0149
Phone number: 503-352-8642
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