Clark, Jolynn

Clark, Jolynn is an individual health care provider with primary practice located at 19500 Se Stark St , Portland OR 97233-5757. She recently has only one registered license in Eye and Vision Services Providers / Contact Lens Fitter, which is considered as her primary health care specialty. Clark, Jolynn can be contacted via phone (503) 669-3995.

Contact Information

Primary practice address
19500 Se Stark St Portland OR 97233-5757
Phone: (503) 669-3995
Fax: (503) 669-3956
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Contact Lens Fitter 156FC0801X

Profile Details

NPI number 1730347303
LBN Legal business name Clark, Jolynn
Credentials ABO, NCLE
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2008
Last updated May 29th, 2008 - about 18 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.

Request for update

Popular Providers