TEAL CLOCKSIN MD
Individual Provider (NPI-1)
Active
Radiology, Diagnostic Radiology
Provider Information
- NPI Number
1780212621- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 3181 SW SAM JACKSON PARK RD, PORTLAND, OR, 972393011
- Phone
- (503) 494-8211
Specialties & Taxonomies
Radiology, Diagnostic Radiology
Primary License: OR #MD208407
Student in an Organized Health Care Education/Training Program
License: OR #MD208407