- Practice location
- 4855 SW Western Ave, Beaverton, Beaverton, OR 97005-3460
- Phone
- 503-643-7565
- Fax
- —
- Last updated
- July 8, 2007
Mary Jo Kocarnik Clarke is a Family Medicine based in Beaverton, OR. Mary Jo Kocarnik Clarke practices in Beaverton, OR and has the professional credentials of MD. The NPI Number for Mary Jo Kocarnik Clarke is 1760586796 and holds a License No. MD15645 (OR). The current practice location address for Mary Jo Kocarnik Clarke is 4855 SW Western Ave, Beaverton, Beaverton, OR 97005-3460 and can be reached out via phone at 503-643-7565.
Provider Profile Details
- NPI Number
- 1760586796
- Provider Name
- Mary Jo Kocarnik Clarke
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 4855 SW Western Ave, Beaverton, Beaverton, OR 97005-3460
- Phone Number
- 503-643-7565
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 11, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4855 SW Western Ave
Beaverton
Beaverton, OR 97005-3460 - City
- Beaverton
- State
- Oregon
- Zip
- 97005-3460
- Phone Number
- 503-643-7565
Provider Business Mailing Address Details
- Address
- 4855 SW Western Ave
Beaverton
Beaverton, OR 97005-3460 - City
- Beaverton
- State
- OR
- Zip
- 97005-3460
License Information
- License Number
- MD15645
- 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. | |||
Other Family Medicine providers near Beaverton, OR
View all Family Medicine providers in Beaverton →- Anthony H. Lee, M.d. PCFamily Medicine · NPI 1508066267
- Beaverton Family MedicineFamily Medicine · NPI 1255607446
- Careoregon Community Health, LLCFamily Medicine · NPI 1053630491
- Caroline Barrett, MDFamily Medicine · NPI 1902217813
- Cognicare Northwest LLCFamily Medicine · NPI 1518798560
- Colin P Boehnlein, MDFamily Medicine · NPI 1457055436
Frequently Asked Questions
What is the NPI number of Dr. Mary Jo K Clarke, MD?
The NPI number of Dr. Mary Jo K Clarke, MD is 1760586796. It was assigned on September 11, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Mary Jo K Clarke, MD?
Dr. Mary Jo K Clarke, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in OR under license number MD15645.
Where does Dr. Mary Jo K Clarke, MD practice?
The practice location is 4855 SW Western Ave, Beaverton, Beaverton, OR 97005-3460. The office can be reached at 503-643-7565 (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 1760586796 directly on the NPPES registry website.