Clark, Kim Michele

Clark, Kim Michele is an individual health care provider with primary practice located at 6820 Nw Grandview Dr , Corvallis OR 97330-2706. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Other Service Providers / Community Health Worker. Nursing Service Providers / Registered Nurse is her primary health care specialty. Clark, Kim Michele can be contacted via phone (541) 753-0708.

Contact Information

Primary practice address
6820 Nw Grandview Dr Corvallis OR 97330-2706
Phone: (541) 753-0708
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 095006090RN Oregon
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1760638290
LBN Legal business name Clark, Kim Michele
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2008
Last updated Aug 15th, 2008 - about 18 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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