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Contact Information

DEAN A CLARK, D.C.
6105 S.W. MACADAM AVE.
PORTLAND, OR97239-3264
 Phone: 503-244-3389
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for DEAN A CLARK · (Male)

NPI # 1750327318
Status Active
Credentials D.C. (Doctor of Chiropractic)
Entity Individual
Enumeration date 06/21/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • OR License # 1856
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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