Ellis Clark, MD

NPI 1750318812 · on the registry since 2006

Practice

Address: 700 Bellevue St Se
Suite 300
Salem, OR 97301
Phone: (503) 364-3704
Organisation at this address: Nationwide Medical, Inc
Salem Brain & Spine, Llc
Kenneth M. Wilson, M.D., P.C.
2nd Wind Sleep Medical Equipment
Salem Ambulatory Surgery Center, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 11

Registry record

Primary taxonomy: 207L00000X
207L00000X
Licence states on file: OR
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

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