NPI 1013337112

Max Clark

Practitioner Hearing Instrument Specialist Portland, OR

Practice location

Address: 11919 NE Glisan St, Portland, OR 97220-2144
Phone: (503) 408-0972

Registered specialties

Hearing Instrument Specialist Primary

Speech, Language and Hearing Service Providers Taxonomy 237700000X Licence HAS-P-614565 (OR)

Other Hearing Instrument Specialist providers in Oregon →

Registry record

NPI: 1013337112
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Apr 2014
Record last updated: 16 Apr 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.