Kim M Clark is a Optometrist in Portland, Oregon. Kim M Clark practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Kim M Clark is 1215091095. The last update date is 2009-05-11.
Kim M Clark's current location address is 12000 Se 82nd Avenue, Portland, Oregon. You can contact this provider via phone number 5036526001 and fax number 5036526012. The mailing address for Kim M Clark is 12000 Se 82nd Avenue, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kim M Clark |
|---|---|
| Address | 12000 Se 82nd Avenue, Portland, Oregon |
| Phone Number | 5036526001 |
| Fax Number | 5036526012 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1215091095 |
|---|---|
| Provider Enumeration Date | 2006-12-19 |
| Last Updated Date | 2009-05-11 |
Provider Mailing Address Detail
| Address | 12000 Se 82nd Avenue |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972667721 |
| Phone Number | 5036526001 |
| Fax Number | 5036526012 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 2911ATI |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kim M Clark by the Centers for Medicare & Medicaid Services?
The Kim M Clark has been assigned the NPI (National Provider Identifier) 1215091095 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Kim M Clark is physically located?
The Kim M Clark is physically situated at the following address: 12000 Se 82Nd Avenue, Portland, OR, 972667721.
What is Kim M Clark's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kim M Clark is Optometrist, and the corresponding taxonomy classification code for this specialized field is 152W00000X.
On what date did the Kim M Clark receive its 1215091095 assignment from the Centers for Medicare & Medicaid Services?
The Kim M Clark was assigned its 1215091095 by the Centers for Medicare & Medicaid Services on 2006-12-19.
As of what date was the information pertaining to Kim M Clark, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kim M Clark, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-05-11.