Justin Clark, LMT

NPI 1013286863 · on the registry since 2011

Practice

Address: 12923 Nw Cornell Rd
#201
Portland, OR 97229
Phone: (503) 646-3393
Organisation at this address: Coyote Resolve
Lauren Mccabe Dc Pc
Cedar Mill Family Chiropractic Inc
Bridgetown Optometric Associates Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 12

Registry record

Primary taxonomy: Massage Therapist
225700000X
Licence states on file: OR
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2011-12-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon