All Medicaid billing entities listing CLACK, SUSAN (CEO) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Oregon | 1 | $22K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | PACIFIC MEDICAL GROUP, PC | LAKE OSWEGO, OR | Clinic/Center | $22K |