Clark, Max
Clark, Max is an sole proprietor health care provider with primary practice located at 11919 Ne Glisan St , Portland OR 97220-2144. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. Clark, Max can be contacted via phone (503) 408-0972.Contact Information
Primary practice address
11919 Ne Glisan St
Portland OR 97220-2144
Phone: (503) 408-0972
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Hearing Instrument Specialist | 237700000X | HAS-P-614565 | Oregon |
Profile Details
| NPI number | 1013337112 |
|---|---|
| LBN Legal business name | Clark, Max |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 16th, 2014 |
| Last updated | Apr 16th, 2014 - about 11 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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