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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. JUDY GOODROAD CLARKE, REGISTERED NURSE

Active Sole Proprietor

MRS. JUDY GOODROAD CLARKE, REGISTERED NURSE is a Registered Nurse healthcare provider located in LAKEVIEW, Oregon. NPI 1265764930 is currently active in the NPPES registry. Verify at CMS.

Registered Nurse · LAKEVIEW, OR

Registration Details

NPI Number
1265764930
Provider Type
Individual
Gender
Female
NPI Issued
Feb 5, 2010 (16.478572512374 yrs)
Last Updated
Feb 5, 2010
License
088003027RN (OR)
Sole Proprietor
Yes

Practice Information

Address
93893 LEEHMANN LN
LAKEVIEW, OR, 976309003
Browse OR providers · Browse ZIP 97630
Phone
5419474010
Primary Specialty
Registered Nurse
163W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.