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Contact Information

ANA CLARK, BSN RN
530 NW 27TH ST
CORVALLIS, OR97330-5223
 Phone: 541-766-6835
 Fax: 541-766-6186
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
 

Attendant Care Provider

3747A0650X
Indicates primary specialty

NPI Profile & details for ANA CLARK · (Female)

NPI Number 1265995534
Status Active
Credentials BSN RN
Entity Individual
Enumeration date 04/12/2019
Last updated 10/02/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • OR License # 10028575
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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