Kim Clark, O.D

NPI 1215091095 · on the registry since 2006

Practice

Address: 12000 Se 82nd Avenue
#2012
Portland, OR 97266
Phone: (503) 652-6001
Fax: (503) 652-6012
Organisation at this address: Daryn W Derstine Od Pc
Town Center Vision Llc
Dr. Kim M Clark & Associates Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: Optometrist
152W00000X
Licence states on file: OR
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2009-05-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon