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1730456427
HEIDI CLARK
BEAVERTON, OR
NPI
1730456427
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: OR AC156029)
Enumeration Date
2011-11-23
Last Update Date
2014-05-07
Business Address
-- HEIDI CLARK ND, LAc
4530 SW HALL BLVD
BEAVERTON, OR 97005-0504
Phone number: 503-644-6555
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Mailing Address
-- HEIDI CLARK ND, LAc
4530 SW HALL BLVD
BEAVERTON, OR 97005-0504
Phone number: 503-644-6555
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