Search › Oregon › 363LA2100X
Diane Clark, ACNP
NPI 1881863488 · on the registry since 2008
Practice
- Address
- 9427 Sw Barnes Rd
Ste 595
Portland, OR 97225 - Phone
- (503) 216-1150
- Organisation at this address
- Providence
Oregon Clinic Pc
Mark J. Morrow, Md
Surgical Associats, Pc
David B. Wilkinson Md PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 189
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Also registered as
- 363LA2100X
364SC0200X
363L00000X - Licence states on file
- UT, OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-02-19
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