Clark, Georganne M.

Clark, Georganne M. is an sole proprietor health care provider with primary practice located at 1009 W 1St Ave , Eugene OR 97402-4905. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Clark, Georganne M. can be contacted via phone (541) 517-4268.

Contact Information

Primary practice address
1009 W 1St Ave Eugene OR 97402-4905
Phone: (541) 517-4268
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X

Profile Details

NPI number 1417116070
LBN Legal business name Clark, Georganne M.
Credentials C.P.M.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2008
Last updated Jun 8th, 2008 - about 17 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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