LISA DIANE CLARK

PORTLAND, OR
NPI1942276282
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OR  200550098)
Enumeration Date2006-02-27
Last Update Date2011-12-22
Business Address
-- LISA DIANE CLARK FNP
265 N BROADWAY ST
PORTLAND, OR 97227-1800
Phone number: 503-274-4885
Mailing Address
-- LISA DIANE CLARK FNP
265 N BROADWAY ST
PORTLAND, OR 97227-1800
Phone number: 503-274-4885
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