- Practice location
- 13200 SW Pacific Hwy, Tigard, OR 97223-4828
- Phone
- 503-598-2000
- Fax
- 503-639-0920
- Last updated
- July 23, 2026
Susan M Clack is a Family Medicine based in Tigard, OR. Susan M Clack practices in Tigard, OR and has the professional credentials of MD. The NPI Number for Susan M Clack is 1669424917 and holds a License No. MD14435 (OR). The current practice location address for Susan M Clack is 13200 SW Pacific Hwy, Tigard, OR 97223-4828 and can be reached out via phone at 503-598-2000 and via fax at 503-639-0920.
Provider Profile Details
- NPI Number
- 1669424917
- Provider Name
- Susan M Clack
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 13200 SW Pacific Hwy, Tigard, OR 97223-4828
- Phone Number
- 503-598-2000
- Fax Number
- 503-639-0920
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 16, 2006
- Last Update Date
- July 23, 2026
- Certification Date
- July 23, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 13200 SW Pacific Hwy
Tigard, OR 97223-4828 - City
- Tigard
- State
- Oregon
- Zip
- 97223-4828
- Phone Number
- 503-598-2000
- Fax Number
- 503-639-0920
Provider Business Mailing Address Details
- Address
- Po Box 1517
Pendleton, OR 97801-0410 - City
- Pendleton
- State
- OR
- Zip
- 97801-0410
- Phone Number
- 877-708-1119
- Fax Number
- 541-278-8349
License Information
- License Number
- MD14435
- License State
- OR
- Taxonomy
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Susan M Clack, MD?
The NPI number of Susan M Clack, MD is 1669424917. It was assigned on May 16, 2006 and is currently active in the NPPES registry.
What is the specialty of Susan M Clack, MD?
Susan M Clack, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in OR under license number MD14435.
Where does Susan M Clack, MD practice?
The practice location is 13200 SW Pacific Hwy, Tigard, OR 97223-4828. The office can be reached at 503-598-2000 (phone) or 503-639-0920 (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 1669424917 directly on the NPPES registry website.