Clark, Terrence A

Clark, Terrence A is an sole proprietor health care provider with primary practice located at 29292 Sw Town Center Loop E , Wilsonville OR 97070-9491. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Clark, Terrence A can be contacted via phone (503) 682-0431.

Contact Information

Primary practice address
29292 Sw Town Center Loop E Wilsonville OR 97070-9491
Fax: (503) 682-3873
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D6352 Oregon

Profile Details

NPI number 1407008568
LBN Legal business name Clark, Terrence A
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 21st, 2008
Last updated Oct 21st, 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.

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