Clark, Jev

Clark, Jev is an sole proprietor health care provider with primary practice located at 2266 Mission St Se , Salem OR 97302-1267. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Clark, Jev can be contacted via phone (503) 375-2000.

Contact Information

Primary practice address
2266 Mission St Se Salem OR 97302-1267
Phone: (503) 375-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X D10561 Oregon

Profile Details

NPI number 1558622936
LBN Legal business name Clark, Jev
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 1st, 2012
Last updated Oct 18th, 2021 - about 3 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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