Kim Michele Clark RN

NPI 1760638290 - Community Health Worker - 172V00000X

NPI Details
NPI 1760638290
Gender Female
Enumeration Date 08/15/2008
Last Updated 08/15/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
6820 NW GRANDVIEW DR
CORVALLIS OR, 97330-2706, US
Phone (541) 753-0708
Fax
Business Location
6820 NW GRANDVIEW DR
CORVALLIS OR, 97330-2706, US
Phone (541) 753-0708
Fax
Toxanomy
Taxonomy Code 172V00000X
License State
License Number
Remove 1760638290 NPI Number
 

According to our database, Kim Michele Clark RN NPI is 1760638290, taxonomy code is 172V00000X Kim Michele Clark RN physically located at 6820 Nw Grandview Dr, Corvallis OR, 97330-2706. NPI Number Kim Michele Clark RN has the Individual type.

Sponsored links

1760638290 NPI number is provided on an as is basis without warranty of any kind. 1760638290 is maintained by the National Plan & Provider Enumeration System. The contents of Kim Michele Clark RN are for informational purposes only.