Mrs. Diane K Clark is a Portland, Oregon based nurse practitioner with 17 years of experience in Acute Care. She completed her graduation from University Of Utah School Of Medicine in 2008. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mrs. Diane K Clark is 201150003NP for Acute Care in Oregon. Her current practice location is 9427 Sw Barnes Rd, Ste 595, Portland. Patients can reach her at 503-216-1150. Mrs. Diane K Clark is ACNP with specialization in Acute Care and her NPI number (Unique professional ID assigned by NPPES) is 1881863488. Mrs. Diane K Clark is a licensed independent practitioner and may autonomously provide care. She provides advanced nursing care across the continuum of health care services to meet the specialized physiologic and psychological needs of patients with acute, critical, and/or complex chronic health conditions. This care is continuous and comprehensive and may be provided in any setting where the patient may be found.
Complete Profile:
Mrs. Diane K 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:
3274660493
Enrollment ID:
I20110325000419
NPI Number:
1881863488
NPI Enumeration Date:
27 Feb, 2008
NPI Last Update On:
19 Feb, 2021
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Diane K Clark are as mentioned below.
License Number
Specialization
State
Status
201150003NP
Acute Care
Oregon
Primary
278877-4405
Acute Care
Utah
Secondary
278877-4405
Clinical Nurse Specialist
Utah
Secondary
201150003NP
Nurse Practitioner
Oregon
Secondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(380004)
Portland, OR
Acute Care Hospital
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 Mrs. Diane K Clark is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Providence Health And Services Oregon (0648183608)
1224
Other Medical Identifiers:
Other legacy medical identifiers associated with Mrs. Diane K Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
P00957594
Other
Oregon
RR MEDICARE
500631611
Medicaid
Oregon
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mrs. Diane K Clark Po Box 3158, Portland, Oregon
Zip:
97208-3158
Phone Number:
503-215-6494
Fax Number:
503-215-6644
Patients can reach Mrs. Diane K Clark at 9427 Sw Barnes Rd, Ste 595, Portland, Oregon or can call to book an appointment on 503-216-1150.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.