Individual provider · Type 1 NPI

Mary Clark

Registered Nurse · White City, OR

NPI number 1285043372 Active

Practice location

8495 Crater Lake Hwy
White City, OR 97503-3011

Fax (541) 830-7481

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X200540995RN (OR)
Case Management Registered Nurse 163WC0400X200540995RN (OR)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1285043372

Mary Clark's National Provider Identifier is 1285043372, issued on Aug 4, 2014. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in White City, OR. The record was last updated on Aug 4, 2014.