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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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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