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1750318812
ELLIS RICHARD CLARK
SALEM, OR
NPI
1750318812
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: OR MD15586)
Enumeration Date
2006-06-26
Last Update Date
2007-07-08
Business Address
-- ELLIS RICHARD CLARK MD
700 BELLEVUE ST SE SUITE 300
SALEM, OR 97301-3819
Phone number: 503-364-3704
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Mailing Address
-- ELLIS RICHARD CLARK MD
PO BOX 4008
PORTLAND, OR 97208-4008
Phone number: 503-372-2740
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