Individual provider · Type 1 NPI

Bradford Clark

Student in an Organized Health Care Education/Training Program · Portland, ME

NPI number 1669273678 Active

Practice location

22 Bramhall St
Portland, ME 04102-3175

Call (207) 662-0111 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1669273678

Bradford Clark's National Provider Identifier is 1669273678, issued on Mar 24, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portland, ME. The record was last updated on Mar 24, 2025.