SAMANTHA LEIGH CLARK C-PNP
Individual Provider (NPI-1)
Active
Nurse Practitioner, Pediatrics
Provider Information
- NPI Number
1841908894- Provider Type
- Individual Provider (NPI-1)
- Credentials
- C-PNP
- Status
- Active
Contact & Location
- Address
- 4904 RIVER RD N, KEIZER, OR, 973034540
- Phone
- (503) 390-2434
Specialties & Taxonomies
Nurse Practitioner, Pediatrics
Primary License: OR #10047719