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1669424917
SUSAN M CLACK
TIGARD, OR
NPI
1669424917
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR MD14435)
Enumeration Date
2006-05-16
Last Update Date
2013-05-03
Business Address
-- SUSAN M CLACK MD
13200 SW PACIFIC HWY
TIGARD, OR 97223
Phone number: 503-598-2000
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Mailing Address
-- SUSAN M CLACK MD
13200 SW PACIFIC HWY
TIGARD, OR 97223-4828
Phone number:
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