Ronald Larson Clarke M.D.

NPI 1699712000 - Pediatrics - 208000000X

NPI Details
NPI 1699712000
Gender Male
Enumeration Date 06/02/2006
Last Updated 12/11/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
14279 GLEN OAK RD
OREGON CITY OR, 97045-8008, US
Phone (503) 657-7629
Fax (503) 557-8651
Business Location
5178 NELCO CT
WEST LINN OR, 97068-2906, US
Phone (503) 557-9384
Fax
Toxanomy
Taxonomy Code 208000000X
License State Oregon
License Number MD16593
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According to our database, Ronald Larson Clarke M.D. NPI is 1699712000, taxonomy code is 208000000X and license number is MD16593, license state is located at Oregon. Ronald Larson Clarke M.D. physically located at 14279 Glen Oak Rd, Oregon City OR, 97045-8008. NPI Number Ronald Larson Clarke M.D. has the Individual type.

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1699712000 NPI number is provided on an as is basis without warranty of any kind. 1699712000 is maintained by the National Plan & Provider Enumeration System. The contents of Ronald Larson Clarke M.D. are for informational purposes only.