MATTHEW RYAN CLARK M.D.
Individual Provider (NPI-1)
Active
Dermatology, MOHS-Micrographic Surgery
Provider Information
- NPI Number
1194162230- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 2353 NE CONNERS AVE, BEND, OR, 977016068
- Phone
- (541) 323-7546
Specialties & Taxonomies
Dermatology
License: SC #MMD89666MD
Dermatology, MOHS-Micrographic Surgery
License: SC #MMD89666MD
Dermatology
License: NC #2023-00924
Dermatology, MOHS-Micrographic Surgery
License: NC #2023-00924
Dermatology, MOHS-Micrographic Surgery
Primary License: OR #MD195653