Clark, Macey

Clark, Macey is an individual health care provider with primary practice located at 710 Sunset Dr Suite E, La Grande OR 97850-1200. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Clark, Macey can be contacted via phone (541) 962-5600.

Contact Information

Primary practice address
710 Sunset Dr Suite E La Grande OR 97850-1200
Phone: (541) 962-5600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 201241211RN Oregon

Profile Details

NPI number 1417483553
LBN Legal business name Clark, Macey
Credentials CPNP-PC
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2017
Last updated Oct 12th, 2017 - about 7 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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