Active NPIIndividual provider

Alice H Clark, RN

Registered Nurse in Tigard, Oregon

NPI Number1033501382
Practice location
10362 SW Mcdonald, Tigard, OR 97224
Fax
503-639-3973
Last updated
February 24, 2015

Alice Halsey Clark is a Registered Nurse based in Tigard, OR. Alice Halsey Clark practices in Tigard, OR and has the professional credentials of RN. The NPI Number for Alice Halsey Clark is 1033501382 and holds a License No. 201041672RN (OR). The current practice location address for Alice Halsey Clark is 10362 SW Mcdonald, Tigard, OR 97224 and can be reached out via phone at 503-624-0312 and via fax at 503-639-3973.

Provider Profile Details

NPI Number
1033501382
Provider Name
Alice Halsey Clark
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
10362 SW Mcdonald, Tigard, OR 97224
Phone Number
503-624-0312
Fax Number
503-639-3973
Primary Taxonomy
Registered Nurse · 163W00000X
Sole Proprietor
No
Provider Enumeration Date
February 24, 2015
Last Update Date
February 24, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
10362 SW Mcdonald
Tigard, OR 97224
City
Tigard
State
Oregon
Zip
97224
Phone Number
503-624-0312
Fax Number
503-639-3973
Tigard, OR 97224Get directions →

Provider Business Mailing Address Details

Address
1027 E. Burnside St.
Portland, OR 97214
City
Portland
State
OR
Zip
97214
Phone Number
503-239-8400
Fax Number
503-269-8407

License Information

License Number
201041672RN
License State
OR
Taxonomy
Registered Nurse · 163W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Alice H Clark, RN?

The NPI number of Alice H Clark, RN is 1033501382. It was assigned on February 24, 2015 and is currently active in the NPPES registry.

What is the specialty of Alice H Clark, RN?

Alice H Clark, RN is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in OR under license number 201041672RN.

Where does Alice H Clark, RN practice?

The practice location is 10362 SW Mcdonald, Tigard, OR 97224. The office can be reached at 503-624-0312 (phone) or 503-639-3973 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033501382 directly on the NPPES registry website.

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