Individual provider · Type 1 NPI
Katie Jane Clark
Specialist · Lebanon, OR
NPI number
1780225474
Active
Practice location
44 Industrial Way Ste D
Lebanon, OR 97355-4364
Mailing address
1305 Hill St SE
Albany, OR 97322-6711
Other practice locations
- 44 Industrial Way Ste D, Lebanon, OR 97355-4364 · (541) 259-5880
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Other specialist providers in Lebanon
About NPI 1780225474
Katie Jane Clark's National Provider Identifier is 1780225474, issued on Oct 3, 2019. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Lebanon, OR. The record was last updated on Oct 3, 2019.