Dr. JEV CLARK
Individual Provider (NPI-1)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1558622936- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 2266 MISSION ST SE, SALEM, OR, 973021267
- Phone
- (503) 375-2000
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
Primary License: OR #D10561
All Addresses
MAILING
2266 MISSION ST SE
SALEM, OR, 973021267