Diane K Clark in Portland - Nurse Practitioner
Diane K Clark - NPI 1881863488
Diane K Clark is a Nurse Practitioner in Portland, Oregon. Diane K Clark practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Diane K Clark is 1881863488. The last update date is 2021-02-19.
Diane K Clark's current location address is 9427 Sw Barnes Rd, Portland, Oregon. You can contact this provider via phone number 5032161150. The mailing address for Diane K Clark is 9427 Sw Barnes Rd, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Diane K Clark |
|---|---|
| Address | 9427 Sw Barnes Rd, Portland, Oregon |
| Phone Number | 5032161150 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | ACNP |
NPI Number Detail
| NPI Number | 1881863488 |
|---|---|
| Provider Enumeration Date | 2008-02-27 |
| Last Updated Date | 2021-02-19 |
Provider Mailing Address Detail
| Address | 9427 Sw Barnes Rd |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972256640 |
| Phone Number | 5032161150 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 201150003NP |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00957594 | OR | RR MEDICARE | |
| 500631611 | OR | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Diane K Clark by the Centers for Medicare & Medicaid Services?
The Diane K Clark has been assigned the NPI (National Provider Identifier) 1881863488 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Diane K Clark?
The Diane K Clark is physically situated at 9427 Sw Barnes Rd, in the city of Portland, state of OR, with the postal code 972256640.
What is Diane K Clark's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Diane K Clark is Nurse Practitioner, and the taxonomy code that categorizes this field of expertise is 363L00000X.
When did Diane K Clark receive its 1881863488 assignment?
The Diane K Clark was assigned its 1881863488 on 2008-02-27, which is the date when this unique identifier was issued to the organization.
When was the information regarding Diane K Clark most recently updated?
The details pertaining to the Diane K Clark, including its address, specialty, and other relevant information, were last refreshed on 2021-02-19.
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