Clark, Dustin J
Clark, Dustin J is an individual health care provider with primary practice located at 4400 Ne Halsey St Ste 490 , Portland OR 97213-1545. He recently has only one registered license in Pharmacy Service Providers / Ambulatory Care, which is considered as his primary health care specialty. Clark, Dustin J can be contacted via phone (503) 893-6900.Contact Information
Primary practice address
4400 Ne Halsey St Ste 490
Portland OR 97213-1545
Phone: (503) 893-6900
Fax: (503) 487-3595
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Ambulatory Care | 1835P2201X | RPH-0017464 | Oregon |
Profile Details
| NPI number | 1235757915 |
|---|---|
| LBN Legal business name | Clark, Dustin J |
| Credentials | PHARMD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 9th, 2020 |
| Last updated | Jul 9th, 2020 - about 4 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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