Lisa Diane Clark is a Portland, Oregon based nurse practitioner with 21 years of experience in Family. She completed her graduation in 2004. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Lisa Diane Clark is 200550098 for Family in Oregon. Her current practice location is 265 N Broadway St, Portland. Patients can reach her at 503-274-4885 or can fax her at 503-274-4814. Lisa Diane Clark is FNP with specialization in Family and her NPI number (Unique professional ID assigned by NPPES) is 1942276282. Lisa Diane Clark delivers family-focused care which means she provides care for patients ranging from infants to the elderly and every age in between. Family Nurse Practitioner (FNP) are frequently the primary care provider for families, which means that they will not only diagnose conditions, but also treat them. FNPs perform physical exams, order diagnostic tests and procedures, diagnose and treat illness, prescribe needed medications, and teach their patients how to develop healthy lifestyles to promote health and prevent disease.
Complete Profile:
Lisa Diane Clark speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which 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).
NPI details are as mentioned below.
PAC ID:
7012922438
Enrollment ID:
I20060207000210
NPI Number:
1942276282
NPI Enumeration Date:
27 Feb, 2006
NPI Last Update On:
22 Dec, 2011
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lisa Diane Clark are as mentioned below.
License Number
Specialization
State
Status
200550098
Family
Oregon
Primary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Lisa Diane Clark is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Northwest Cancer Specialists Pc (8426943838)
60
Northwest Cancer Specialists Pc (8426943838)
60
Other Medical Identifiers:
Other legacy medical identifiers associated with Lisa Diane Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
273968
Medicaid
Oregon
1022791
Medicaid
Washington
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Lisa Diane Clark 265 N Broadway St, Portland, Oregon
Zip:
97227-1800
Phone Number:
503-274-4885
Fax Number:
503-274-4814
Patients can reach Lisa Diane Clark at 265 N Broadway St, Portland, Oregon or can call to book an appointment on 503-274-4885.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.