Clark, George Wesley

Clark, George Wesley is an individual health care provider with primary practice located at 3647 Highway 39 , Klamath Falls OR 97603-2612. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Technologists, Technicians & Other Technical Service Providers / Technician, Other, Nursing Service Related Providers / Technician. Other Service Providers / Peer Specialist is his primary health care specialty. Clark, George Wesley can be contacted via phone (541) 884-5244.

Contact Information

Primary practice address
3647 Highway 39 Klamath Falls OR 97603-2612
Phone: (541) 884-5244
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X
Nursing Service Related Providers / Technician 374700000X Oregon
Other Service Providers / Peer Specialist 175T00000X Oregon

Profile Details

NPI number 1750927075
LBN Legal business name Clark, George Wesley
Credentials CRM
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2019
Last updated Oct 12th, 2020 - about 6 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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