person
Shirelle Latrice Clark, NP
Family Nurse Practitioner in Portland, Oregon
NPI 1144797085

Shirelle Latrice Clark is a Family Nurse Practitioner based in Portland, OR and is specialized in Family. Shirelle Latrice Clark practices in Portland, OR and has the professional credentials of NP. The NPI Number for Shirelle Latrice Clark is 1144797085 and holds a License No. 10003750 (Oregon).

The current practice location address for Shirelle Latrice Clark is 3303 S Bond Ave, Portland, OR and can be reached out via phone at 503-494-6594 and via fax at 503-494-5385.

Location: 3303 S Bond Ave, Portland, OR, 97201-5537
person
Provider Profile Details
NPI Number
1144797085
Provider Name
Shirelle Latrice Clark
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
3303 S Bond Ave, Portland, OR, 97201-5537
Phone Number
503-494-6594
Fax Number
503-494-5385
Provider Enumeration Date
10/29/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3303 S Bond Ave
City
State
Zip
97239-4501
Phone Number
503-494-6594
Fax Number
503-494-5385
person
Provider Business Mailing Address Details
Address
3303 S Bond Ave
City
State
Zip
97239-4501
Phone Number
503-494-6594
Fax Number
503-494-5385
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
10003750 (Oregon)
Definition
Definition to come...
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