person
Dr. Kylie Clark, MD
Student in an Organized Health Care Education/Training Program in Portland, Oregon
NPI 1861788101

Kylie Clark is a Student in an Organized Health Care Education/Training Program based in Portland, OR. Kylie Clark practices in Portland, OR and has the professional credentials of MD. The NPI Number for Kylie Clark is 1861788101 and holds a License No. MD168562 (Oregon).

The current practice location address for Kylie Clark is 5050 Ne Hoyt St, Portland, OR and can be reached out via phone at 503-233-5393 and via fax at 503-659-8984.

Location: 5050 Ne Hoyt St, Portland, OR, 97213-2991
person
Provider Profile Details
NPI Number
1861788101
Provider Name
Kylie Clark
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
5050 Ne Hoyt St, Portland, OR, 97213-2991
Phone Number
503-233-5393
Fax Number
503-659-8984
Provider Enumeration Date
06/24/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500674850 05 OR
institution
Provider Business Practice Location Address Details
Address
5050 Ne Hoyt St
City
State
Zip
97213-2991
Phone Number
503-233-5393
Fax Number
503-659-8984
person
Provider Business Mailing Address Details
Address
5050 Ne Hoyt St
City
State
Zip
97213-2991
Phone Number
503-233-5393
Fax Number
503-659-8984
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
License No.
2011018538 (Missouri)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
MD168562 (Oregon)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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