Clark, Adam William

Clark, Adam William is an individual health care provider with primary practice located at 2650 Suzanne Way Ste 200 , Eugene OR 97408-7619. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Clark, Adam William can be contacted via phone (541) 228-3130.

Contact Information

Primary practice address
2650 Suzanne Way Ste 200 Eugene OR 97408-7619
Phone: (541) 228-3130
Fax: (541) 228-3187
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 8028 Oregon

Profile Details

NPI number 1386803575
LBN Legal business name Clark, Adam William
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2008
Last updated Jun 3rd, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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