Clark, Leslie
Clark, Leslie is an individual health care provider with primary practice located at 2460 Willamette St , Eugene OR 97405-3169. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Clark, Leslie can be contacted via phone (541) 453-5206.Contact Information
Primary practice address
2460 Willamette St
Eugene OR 97405-3169
Phone: (541) 453-5206
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | H5315 | Oregon |
Profile Details
| NPI number | 1477966695 |
|---|---|
| LBN Legal business name | Clark, Leslie |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2014 |
| Last updated | Jun 5th, 2014 - about 12 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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