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1770099012
MARCO CLARK
PORTLAND, OR
NPI
1770099012
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: OR A4776)
Enumeration Date
2017-12-22
Last Update Date
2017-12-22
Business Address
MARCO CLARK
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239-2964
Phone number: 503-220-8262
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Mailing Address
MARCO CLARK
PO BOX 87
ALSEA, OR 97324-0087
Phone number:
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