person
Macey Clark, CPNP-PC
Pediatric Nurse Practitioner in La Grande, Oregon
NPI 1417483553

Macey Clark is a Pediatric Nurse Practitioner based in La Grande, OR and is specialized in Pediatrics. Macey Clark practices in La Grande, OR and has the professional credentials of CPNP-PC. The NPI Number for Macey Clark is 1417483553 and holds a License No. 201241211RN (Oregon).

The current practice location address for Macey Clark is 710 Sunset Dr, La Grande, OR and can be reached out via phone at 541-962-5600.

Location: 710 Sunset Dr, La Grande, OR, 97850-1200
person
Provider Profile Details
NPI Number
1417483553
Provider Name
Macey Clark
Credential
CPNP-PC
Provider Entity Type
Individual
Gender
Female
Address
710 Sunset Dr, La Grande, OR, 97850-1200
Phone Number
541-962-5600
Fax Number
Provider Enumeration Date
05/10/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
710 Sunset Dr
City
State
Zip
97850-1200
Phone Number
541-962-5600
Fax Number
person
Provider Business Mailing Address Details
Address
710 Sunset Dr
City
State
Zip
97850-1200
Phone Number
541-962-5600
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
201241211RN (Oregon)
Definition
Definition to come...
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