Clark, Carly Rene'
Clark, Carly Rene' is an sole proprietor health care provider with primary practice located at 3324 N Arlington Pl , Portland OR 97217-7204. She recently has only one registered license in Dental Providers / Advanced Practice Dental Therapist, which is considered as her primary health care specialty. Clark, Carly Rene' can be contacted via phone (503) 887-5923.Contact Information
Primary practice address
3324 N Arlington Pl
Portland OR 97217-7204
Phone: (503) 887-5923
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Advanced Practice Dental Therapist | 125K00000X | H5380 | Oregon |
Profile Details
NPI number | 1760827356 |
---|---|
LBN Legal business name | Clark, Carly Rene' |
Credentials | RDH, EP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 8th, 2013 |
Last updated | May 8th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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