NPI 1588150965

Albert Wayne Clark

Practitioner Home Health Aide Springfield, OR

Practice location

Address: 4343 Main St, Springfield, OR 97478-7647
Phone: (541) 200-7037
Fax: (541) 334-6119

Registered specialties

Home Health Aide Primary

Nursing Service Related Providers Taxonomy 374U00000X

Other Home Health Aide providers in Oregon →

Registry record

NPI: 1588150965
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Jul 2018
Record last updated: 9 Jul 2018

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.