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1972792992
DANICA E CLARK
PORTLAND, OR
NPI
1972792992
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: OR MD154535)
Enumeration Date
2007-10-16
Last Update Date
2021-06-10
Business Address
Dr. DANICA E CLARK MD
12360 E BURNSIDE ST
PORTLAND, OR 97233-1042
Phone number: 971-279-4800
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Mailing Address
Dr. DANICA E CLARK MD
1776 SW MADISON ST
PORTLAND, OR 97205-1715
Phone number: 503-224-1044
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