JILL CLARK

PORTLAND, OR
NPI1750573804
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  L4822)
Enumeration Date2007-08-13
Last Update Date2011-04-08
Business Address
-- JILL CLARK LCSW
10373 NE HANCOCK ST SUITE 200
PORTLAND, OR 97220-3873
Phone number: 503-253-8020
Mailing Address
-- JILL CLARK LCSW
8803 SE 12TH AVE
PORTLAND, OR 97202-7097
Phone number: 503-754-2477
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