| Doctor Name: | MS. MARIA R. CLARK-HARMON |
| NPI Number: | 1013956036 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ANP |
| License Number: | 200050038NP/ANP |
| Business Practice Address: | 3521 Nw Samaritan Dr Suite 201 Corvallis, OR - 973304744 |
| Business Phone Number: | 5417685140 |
| Business Fax Number: | 5417685391 |
| Mailing Address: | 3521 Nw Samaritan Dr, Suite 201 CORVALLIS |
| State: | OR |
| Postal Code: | 973304744 |
| Phone Number: | 5417685140 |
| Fax Number: | 5417685391 |
| NPI Enumeration Date: | 06/05/2006 |
| NPI Last Update Date: | 02/23/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 200050038NP/ANP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |