-- ELLIS RICHARD CLARK -- MD
Individual Provider (NPI-1)
Active
Anesthesiology
Provider Information
- NPI Number
1750318812- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 700 BELLEVUE ST SE SUITE 300, SALEM, OR, 973013819
- Phone
- (503) 364-3704
Specialties & Taxonomies
Anesthesiology
Primary License: OR #MD15586