JULIE K CLARK, Denturist ROSEBURG, OR

Contact Information

JULIE K CLARK

150 NE KENNETH FORD DR
ROSEBURG, OR 97470-1042

Phone: 541-672-9596
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Denturist	122400000X

Indicates primary specialty

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NPI Profile & details for JULIE K CLARK · (Female)

NPI #	`1609589837`
Status	Active
Credentials
Entity	Individual
Enumeration date	01/03/2023
Last updated	01/03/2023 - About 3 years ago
Sole proprietor ¹	Yes
Identifiers	OR License # DT-TMP-10228509
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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JULIE K CLARKDenturist

Contact Information

Specialty

Denturist

NPI Profile & details for JULIE K CLARK · (Female)

Reviews for JULIE K CLARK

JULIE K CLARK
Denturist