Justin Clark
Massage Therapist
12923 Nw Cornell Rd #201
Portland
, Oregon 97229-5834
Justin Clark
Massage Therapist
12923 Nw Cornell Rd #201
Portland
, Oregon 97229-5834
(503) 646-3393
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About
Features
Specialties
- Massage Therapist
Languages spoken
- English
Location
First Address
- Justin Clark
- 12923 Nw Cornell Rd #201
- Portland, OR
- Zip : 97229-5834
- Phone : (503) 646-3393
Second Address
- Justin Clark
- 12923 Nw Cornell Rd #201
- Portland, OR
- Zip : 97229-5834
- Phone : (503) 646-3393
Reviews
FAQs
Where did Justin Clark attend graduate school?
Where did Justin Clark do his residency?
Where did Justin Clark do his fellowship?
Is Justin Clark board certified?
What type of doctor is Justin Clark
In what state does Justin Clark practice in?
Where is Justin Clark ’s practice located?
What is Justin Clark ’s gender?
Is Justin Clark a sole practitioner?
Is Justin Clark accepting new patients?
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Does Justin Clark accept insurance?
Does Justin Clark offers telemedicine?
What is Justin Clark ’s professional license number?
What is Justin Clark ’s NPI number?
Does Justin Clark have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 18505 | OR |
National Provider Identifier
| NPI | 1013286863 |
|---|---|
| Provider Name | Justin Clark |
| First Address | Portland, OR 97229-5834 |
| Second Address | Portland, OR 97229-5834 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/12/2011 |
| Last Update Date | 23/12/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.