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1760586796
MARY JO KOCARNIK CLARKE
BEAVERTON, OR
NPI
1760586796
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR MD15645)
Enumeration Date
2006-09-11
Last Update Date
2007-07-08
Business Address
Dr. MARY JO KOCARNIK CLARKE MD
4855 SW WESTERN AVE BEAVERTON
BEAVERTON, OR 97005-3460
Phone number: 503-643-7565
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Mailing Address
Dr. MARY JO KOCARNIK CLARKE MD
4855 SW WESTERN AVE BEAVERTON
BEAVERTON, OR 97005-3460
Phone number:
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