ELLIS RICHARD CLARK

SALEM, OR
NPI1750318812
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: OR  MD15586)
Enumeration Date2006-06-26
Last Update Date2007-07-08
Business Address
ELLIS RICHARD CLARK MD
700 BELLEVUE ST SE SUITE 300
SALEM, OR 97301-3819
Phone number: 503-364-3704
Mailing Address
ELLIS RICHARD CLARK MD
PO BOX 4008
PORTLAND, OR 97208-4008
Phone number: 503-372-2740
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