DIANE K CLARK

PORTLAND, OR
NPI1881863488
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: OR  201150003NP)
Additional Taxonomies363LA2100X Nurse Practitioner, Acute Care
(Licence: UT  278877-4405)
364SC0200X Clinical Nurse Specialist, Critical Care Medicine
(Licence: UT  278877-4405)
363L00000X Nurse Practitioner
(Licence: OR  201150003NP)
Enumeration Date2008-02-27
Last Update Date2021-02-19
Business Address
Mrs. DIANE K CLARK ACNP
9427 SW BARNES RD STE 595
PORTLAND, OR 97225-6640
Phone number: 503-216-1150
Mailing Address
Mrs. DIANE K CLARK ACNP
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-6494