Clark, Gregory Lynn
Clark, Gregory Lynn is an individual health care provider with primary practice located at 11790 Sw Barnes Rd Suite 330, Portland OR 97225-5934. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Clark, Gregory Lynn can be contacted via phone (503) 228-4414.Contact Information
Primary practice address
11790 Sw Barnes Rd Suite 330
Portland OR 97225-5934
Phone: (503) 228-4414
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | OR MD18493 | Oregon |
Other Service Providers / Specialist | 174400000X | WA MD00035294 | Washington |
Allopathic & Osteopathic Physicians / Sleep Medicine | 2084S0012X | MD18493 | Oregon |
Profile Details
NPI number | 1225141823 |
---|---|
LBN Legal business name | Clark, Gregory Lynn |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 16th, 2006 |
Last updated | Mar 10th, 2014 - about 10 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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