Search › Oregon › 1223S0112X
Jev Clark
NPI 1558622936 · on the registry since 2012 · sole proprietor
Practice
- Address
- 2266 Mission St Se
Salem, OR 97302 - Phone
- (503) 375-2000
- Organisation at this address
- Hhhkc Dental Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Additional practice sites
- 2125 Nw Professional Dr, Corvallis, OR
- 1040 24th Ave Sw, Albany, OR
Registry record
- Primary taxonomy
- 1223S0112X
1223S0112X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-10-18
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