Mary Clark

NPI 1285043372 · on the registry since 2014

Practice

Address: 8495 Crater Lake Hwy
White City, OR 97503
Phone: (541) 826-2111
Fax: (541) 830-7481
Organisation at this address: Vasorcc
White City Vamc
White City Vamc
White City Cboc
Veterans Affairs
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 217

Registry record

Primary taxonomy: Registered Nurse
163W00000X
Also registered as: Case Management Registered Nurse
Licence states on file: OR
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2014-08-04

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