Active NPIIndividual provider

Alexander V Clark

Student in an Organized Health Care Education/Training Program in Portland, Oregon

NPI Number1477443711
Practice location
3455 SW US Veterans Hospital RD, Portland, OR 97239-3076
Fax
—
Last updated
July 8, 2025

Alexander V Clark is a Student in an Organized Health Care Education/Training Program based in Portland, OR. The NPI number for Alexander V Clark is 1477443711 and holds license No. 10041823 (OR). The current practice location address is 3455 SW US Veterans Hospital RD, Portland, OR 97239-3076 and the office can be reached by phone at 601-209-3402. The NPI was assigned on July 8, 2025 and the record was last updated in NPPES on July 8, 2025.

●Provider Profile Details

NPI Number
1477443711
Provider Name
Alexander Victor Clark
Entity Type
Individual (Type 1 NPI)
Gender
Male
Sole Proprietor
No
Enumeration Date
July 8, 2025
Last Update Date
July 8, 2025
Certification Date
July 8, 2025
NPI Status
Active

◉Business Practice Location Address

Address
3455 SW US Veterans Hospital RD
Portland, OR 97239-3076
State
Oregon
ZIP
97239-3076
Country
US
Phone Number
601-209-3402

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✉Business Mailing Address

Address
476 SW 150TH Ave
Beaverton, OR 97006-5759
City
Beaverton
State
OR
ZIP
97006-5759
Phone Number
601-209-3402

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Student in an Organized Health Care Education/Training Program390200000XYes10041823OR

#Other Provider Identifiers

No legacy or other 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 Alexander V Clark?

The NPI number of Alexander V Clark is 1477443711. It was assigned on July 8, 2025 and is currently active in the NPPES registry.

What is the specialty of Alexander V Clark?

Alexander V Clark is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X) and holds license No. 10041823 (OR).

Where does Alexander V Clark practice?

The practice location is 3455 SW US Veterans Hospital RD, Portland, OR 97239-3076. The office can be reached at 601-209-3402 (phone).

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 1477443711 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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