Dean Allen Clark in Portland - Sports Physician
Dean Allen Clark - NPI 1750327318
Dean Allen Clark is a Sports Physician in Portland, Oregon. Dean Allen Clark practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Dean Allen Clark is 1750327318. The last update date is 2007-07-08.
Dean Allen Clark's current location address is 6105 Sw Macadam Ave, Portland, Oregon. You can contact this provider via phone number 5032443389. The mailing address for Dean Allen Clark is 6105 Sw Macadam Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dean Allen Clark |
|---|---|
| Address | 6105 Sw Macadam Ave, Portland, Oregon |
| Phone Number | 5032443389 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1750327318 |
|---|---|
| Provider Enumeration Date | 2006-06-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6105 Sw Macadam Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972393647 |
| Phone Number | 5032443389 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | 1856 |
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Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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Post Comment/ Review Below
What is the unique identification code assigned to Dean Allen Clark by the Centers for Medicare & Medicaid Services?
The Dean Allen Clark has been issued the NPI (National Provider Identifier) 1750327318. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Dean Allen Clark's physical address?
The Dean Allen Clark is physically located at 6105 Sw Macadam Ave, in the city of Portland, OR, with the postal code 972393647.
What is Dean Allen Clark's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Dean Allen Clark is Sports Physician, and the taxonomy code that classifies this field of practice is 111Ns0005X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1750327318 to Dean Allen Clark?
The Centers for Medicare & Medicaid Services originally issued the 1750327318 to Dean Allen Clark on 2006-06-21.
As of what date was the information pertaining to Dean Allen Clark, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Dean Allen Clark, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.