MR. MAX CLARK (NPI# 1013337112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013337112 |
Entity Type | Individual |
Full Name | MR. MAX CLARK |
Practice Address |
11919 Ne Glisan St Portland OR 97220-2144 |
Practice Telephone | 5034080972 |
Mailing Telephone | 5034080972 |
Enumeration Date | 2014-04-16 |
Last Update Date | 2014-04-16 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 237700000X | Hearing Instrument Specialist | HAS-P-614565 | OR | Speech, Language and Hearing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538130851 | Max Arnold Clark II | General Practice | 2563 Old Quarry Rd, #825, San Diego, CA 92108-2732 | 2006-01-27 |
1538152749 | Max A Clark | Obstetrics & Gynecology | 1975 Miamisburg Centerville Rd, Suite A, Centerville, OH 45459-3811 | 2005-08-24 |
Street Address |
11919 NE GLISAN ST |
City | PORTLAND |
State | OR |
Zip Code | 97220-2144 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962893446 | Hearing Helpers LLC | Hearing Aid Equipment | 11919 Ne Glisan St, Portland, OR 97220 | 2015-02-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316569254 | Debra Shamblin | Behavioral Analyst | 150 Ne 100th Ave, Portland, OR 97220 | 2020-05-14 |
1336780618 | Joan Lambert | Technician | 2802 Ne 108th Avenue, Portland, OR 97220 | 2019-10-08 |
1750933917 | Multnomah County | Clinic/Center | 11540 Ne Inverness Dr., Inverness Jail, Portland, OR 97220 | 2019-07-09 |
1194223107 | Landmark Connect of Oregon PC | General Practice | 5933 Ne Win Sivers Dr Ste 310, Portland, OR 97220 | 2018-01-24 |
1487178711 | Andrew Shonk | Massage Therapist | 163 Ne 102nd Ave Blid V, Portland, OR 97220 | 2017-07-28 |
1548781693 | Greater New Hope Family Services | Lodging | 11868 Ne Sandy Blvd, Portland, OR 97220 | 2017-06-29 |
1245771740 | Maria Teresa Banez Salcedo | Registered Nurse | 10300 Ne Hancock Street, Portland, OR 97220 | 2017-03-16 |
1568901858 | Christopher Gabriel Lyons | Adult Companion | 1343 Ne 118 Ave. Apt5, Portland, OR 97220 | 2017-02-20 |
1962945956 | Linda Ann Oldenburg | Registered Nurse | 9515 Ne Skidmore Avenue, Portland, OR 97220 | 2016-11-23 |
1326493446 | Trent D. Wilson | Massage Therapist | 8401 Ne Halsey St., Suite 101, Portland, OR 97220 | 2016-04-26 |
Find all providers in zip 97220 |
Taxonomy Code | 237700000X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Hearing Instrument Specialist |
Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295201341 | Alyssa M Bartlett | Hearing Instrument Specialist | 2100 Ne Broadway St Ste 305, Portland, OR 97232-1570 | 2018-10-16 |
1235656265 | Jacob Paul Tauzin | Hearing Instrument Specialist | 5455 Se 91st Ave, Portland, OR 97266-4603 | 2017-08-30 |
1689075087 | Hearing Solutions Northwest, LLC. | Hearing Instrument Specialist | 1730 Sw Skyline Blvd Ste 110, Portland, OR 97221-2547 | 2014-09-04 |
1073913760 | Christina Marie York | Hearing Instrument Specialist | 1500 Wildcat Dr Ste B, Portland, TX 78374-2826 | 2014-08-29 |
1487999199 | Spencer L Snow | Hearing Instrument Specialist | 1737 Ne 42nd Ave, Portland, OR 97213-1526 | 2012-12-06 |
1740555655 | Duane L Smelser | Hearing Instrument Specialist | 4921 Sw 76th Ave, Portland, OR 97225-1805 | 2012-03-12 |
1285948398 | Robert J Augur Jr. | Hearing Instrument Specialist | 11942 Ne Glisan St, Portland, OR 97220-2143 | 2010-07-30 |
1275854804 | Darin T Scheurer | Hearing Instrument Specialist | 6723 Sw 12th Ave, Portland, OR 97219-2001 | 2010-06-17 |
1659696797 | Michael Spain | Hearing Instrument Specialist | 10570 Se Washinton St, Ste 210, Portland, OR 97216 | 2010-04-01 |
1154650208 | Teejay Barnhart | Hearing Instrument Specialist | 10570 Se Washington St Ste 210, Portland, OR 97216-2846 | 2009-12-21 |
Find all providers in PORTLAND |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.