NPI 1760827356
Carly Rene' Clark, RDHEP
Practice location
- Address
- 3324 N Arlington Pl, Portland, OR 97217-7204
- Phone
- (503) 887-5923
Registered specialties
Advanced Practice Dental Therapist
Primary
Registry record
- NPI
- 1760827356
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 8 May 2013
- Record last updated
- 8 May 2013
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.