Clark, Diane

Clark, Diane is an individual health care provider with primary practice located at 3639 Crater Lake Hwy , Medford OR 97504-9259. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Pharmacy Service Providers / Pharmacist is her primary health care specialty. Clark, Diane can be contacted via phone (541) 734-2482.

Contact Information

Primary practice address
3639 Crater Lake Hwy Medford OR 97504-9259
Phone: (541) 734-2482
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 7948 Oregon
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 7948 Oregon

Profile Details

NPI number 1558634980
LBN Legal business name Clark, Diane
Credentials R.PH.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2012
Last updated Jan 8th, 2016 - about 8 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.

Request for update

Popular Providers