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Contact Information

JOANNE CLARKE, ELECTROLOGIST
723 SE MAIN STREET
ROSEBURG, OR97470-3938
 Phone: 541-760-8401
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Technician

374700000X
Indicates primary specialty

NPI Profile & details for JOANNE CLARKE · (Female)

NPI # 1386284339
Status Active
Credentials ELECTROLOGIST
Entity Individual
Enumeration date 01/07/2020
Last updated 01/07/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # BAP-E-10202403
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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