Clark, Jonathan Wilson
Clark, Jonathan Wilson is an sole proprietor health care provider with primary practice located at 3175 Pocahontas Rd , Baker City OR 97814-1434. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Clark, Jonathan Wilson can be contacted via phone (541) 523-4415.Contact Information
Primary practice address
3175 Pocahontas Rd
Baker City OR 97814-1434
Phone: (541) 523-4415
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 342831 | Oregon |
Profile Details
| NPI number | 1679943328 |
|---|---|
| LBN Legal business name | Clark, Jonathan Wilson |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 6th, 2015 |
| Last updated | Oct 6th, 2015 - about 9 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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