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: |