Jolynn Clark is a Contact Lens Fitter in Portland, Oregon. Jolynn Clark practices all healthcare services and medical treatments related to Contact Lens Fitter. The NPI Number for Jolynn Clark is 1730347303. The last update date is 2008-05-29.
Jolynn Clark's current location address is 19500 Se Stark St, Portland, Oregon. You can contact this provider via phone number 5036693995 and fax number 5036693956. The mailing address for Jolynn Clark is 19500 Se Stark St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jolynn Clark |
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Address | 19500 Se Stark St, Portland, Oregon |
Phone Number | 5036693995 |
Fax Number | 5036693956 |
Sole Proprietor | N |
Credentials | ABO, NCLE |
NPI Number Detail
NPI Number | 1730347303 |
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Provider Enumeration Date | 2008-05-29 |
Last Updated Date | 2008-05-29 |
Provider Mailing Address Detail
Address | 19500 Se Stark St |
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City | Portland |
State | Oregon (OR) |
Post Code | 972335757 |
Phone Number | 5036693995 |
Fax Number | 5036693956 |
Provider's Primary Taxonomy Detail
Speciality | Contact Lens Fitter |
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Taxonomy | 156Fc0801X |
Definition: An optician or other ancillary support staff person who, where authorized by state law and trained or certified to do so, may fit or dispense contact lenses to a patient based on the prescription of an optometrist or medical physician. |
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What is the unique 10-digit identification code issued to Jolynn Clark by the Centers for Medicare & Medicaid Services?
The Jolynn Clark has been assigned the NPI (National Provider Identifier) 1730347303 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Jolynn Clark?
The Jolynn Clark is physically situated at 19500 Se Stark St, in the city of Portland, state of OR, with the postal code 972335757.
What is Jolynn Clark's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jolynn Clark's specialized field of practice is Contact Lens Fitter, and the corresponding taxonomy code that categorizes this area of specialization is 156Fc0801X.
When did Jolynn Clark receive its 1730347303 assignment?
The Jolynn Clark was assigned its 1730347303 on 2008-05-29, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Jolynn Clark last refreshed?
The information related to the Jolynn Clark, including its address, specialty, and other relevant details, was last updated on 2008-05-29.