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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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