Mr. ALBERT WAYNE CLARK Jr.
Individual Provider (NPI-1)
Active
Home Health Aide
Provider Information
- NPI Number
1588150965- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 4343 MAIN ST, SPRINGFIELD, OR, 974787647
- Phone
- (541) 200-7037
- Fax
- (541) 334-6119
Specialties & Taxonomies
Home Health Aide
Primary License: OR