person
Katie Jane Clark
Specialist in Lebanon, Oregon
NPI 1780225474

Katie Jane Clark is a Specialist based in Albany, OR. Katie Jane Clark practices in Lebanon, OR. The NPI Number for Katie Jane Clark is 1780225474 and holds a License No. (Oregon).

The current practice location address for Katie Jane Clark is 44 Industrial Way Ste D, Lebanon, OR and can be reached out via phone at 541-801-4113. You can also correspond with Katie Jane Clark through the mailing address at 1305 HILL ST SE, ALBANY, OR - 97322-6711 (mailing address contact number: 541-801-4113).

Location: 44 Industrial Way Ste D, Lebanon, OR, 97322-6711
person
Provider Profile Details
NPI Number
1780225474
Provider Name
Katie Jane Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
44 Industrial Way Ste D, Lebanon, OR, 97322-6711
Phone Number
541-801-4113
Fax Number
Provider Enumeration Date
10/03/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
44 Industrial Way Ste D
City
State
Zip
97355-4364
Phone Number
541-801-4113
Fax Number
person
Provider Business Mailing Address Details
Address
44 Industrial Way Ste D
City
State
Zip
97355-4364
Phone Number
541-801-4113
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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