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1649355850
J. HENRY CLARKE
PORTLAND, OR
NPI
1649355850
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: OR D3630)
Enumeration Date
2006-10-26
Last Update Date
2007-07-08
Business Address
-- J. HENRY CLARKE DMD
611 SW CAMPUS DR
PORTLAND, OR 97239-3001
Phone number: 503-494-4316
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Mailing Address
-- J. HENRY CLARKE DMD
2324 NE 32ND AVE
PORTLAND, OR 97212-4965
Phone number: 503-288-1618
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