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

KATIE JANE CLARK

Active

Specialist · LEBANON, OR

Registration Details

NPI Number
1780225474
Provider Type
Individual
Gender
Female
NPI Issued
Oct 3, 2019 (6.5723250751622 yrs)
Last Updated
Oct 3, 2019

Practice Information

Address
44 INDUSTRIAL WAY STE D
LEBANON, OR, 973554364
Browse OR providers · Browse ZIP 97355
Phone
5418014113
Primary Specialty
Specialist
174400000X

Other Specialist Providers in LEBANON, OR

Name Credential NPI
DR. PATRICK R BURKETT M.D. 1932377561
DEBRA LYNN JOSEPH P.T. 1235306945
MS. KATHY KING NEWMAN PT 1215236120
CARLI WYMORE CPT 1750832887
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.