DR. ROGER KEVIN CLARK JR.


Address: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011
Phone: 5034183308

DR. ROGER KEVIN CLARK JR. (NPI# 1104476225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104476225
Entity Type Individual
Full Name DR. ROGER KEVIN CLARK JR.
Credential PHARMD
Practice Address 3181 Sw Sam Jackson Park Rd
Portland
OR 97239-3011
Mailing Address 31192 Sw Willamette Way W
Wilsonville
OR 97070-8581
Practice Telephone 5034183308
Mailing Telephone 5035703436
Enumeration Date 2019-09-19
Last Update Date 2019-09-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 0011422 OR Pharmacy Service Providers

Other Providers ROGER CLARK

NPI Name Taxonomy Address Enumeration
1922640721 Roger Clark Student in an Organized Health Care Education/Training Program 160 Convent Ave, Harris Hall H-15, New York, NY 10031-9198 2019-10-13
1225458136 Roger Clark Specialist/Technologist 2200 Bonforte Blvd, Pueblo, CO 81001-4901 2014-04-17
1205166238 Roger Clark Pharmacist 19003 N R H Johnson Blvd, Sun City West, AZ 85375-4402 2010-01-14
1992976542 Roger Dale Clark Hearing Instrument Specialist 4300 W Waco Dr, A2, Waco, TX 76710-7010 2008-03-21
1821202383 Roger E Clark Dentist 736 Columbus Ave, Lebanon, OH 45036-1608 2007-05-10
1669501136 Roger Galen Clark Psychologist Blanchfield Army Community Hospital, 650 Joel Dr, Fort Campbell, KY 42223-5349 2007-03-02
1235181140 Roger P. Clark Internal Medicine 1153 Centre St, Suite 4955, Boston, MA 02130-3446 2006-05-17

Office Location

Street Address 3181 SW SAM JACKSON PARK RD
City PORTLAND
State OR
Zip Code 97239-3011

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972506301 Jerris Robert Hedges Emergency Medicine 3181 Sw Sam Jackson Park Rd, # L-102, Portland, OR 97239-3011 2005-05-31
1114528486 Nathan Stencel Student in an Organized Health Care Education/Training Program 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3098 2020-11-04
1073113064 Evan Mitchell Student in an Organized Health Care Education/Training Program 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 2020-10-28
1629678834 Vanessa Davie Student in an Organized Health Care Education/Training Program 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 2020-10-27
1952901480 Jackie Kim Sharpe Pharmacist 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 2020-10-26
1922607530 Leah Snyder Student in an Organized Health Care Education/Training Program 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3098 2020-10-23
1932708740 Blake Beneville Student in an Organized Health Care Education/Training Program 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3098 2020-10-22
1154920833 Isabelle Nguyen Student in an Organized Health Care Education/Training Program 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 2020-10-22
1124627054 Musah N Iddrisu Student in an Organized Health Care Education/Training Program 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 2020-10-21
1386242105 Wenelia Baghoomian Student in an Organized Health Care Education/Training Program 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 2020-10-14
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558979468 Elise Caitlin Esposito Student in an Organized Health Care Education/Training Program 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 2020-07-16
1750908844 Will Cowan Student in an Organized Health Care Education/Training Program 455 Sw Us Veterans Hospital Road., Portland, OR 97239 2020-07-06
1881219657 Desiree Baer Licensed Vocational Nurse Sw Us Veterans Hospital Rd, Portland, OR 97239 2020-06-08
1285266205 Melissa Irene Wheeler Registered Nurse Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 2020-02-07
1225687981 Pheba Mariam Jones Pharmacist Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 2019-09-05
1801448063 Alice Huang Huang Student in an Organized Health Care Education/Training Program 3710 Sw Veterans Road, Portland, OR 97239 2019-07-09
1710446273 Ellen Noreen Kessi Social Worker 3710 Sw Us Veterans Rd., Portland, OR 97239 2019-03-14
1508335704 Jacqueline Marie Mular Marriage & Family Therapist 5550 Sw Macadam Suite 100, Portland, OR 97239 2018-11-16
1275030926 Carly Elizabeth Dougher Student in an Organized Health Care Education/Training Program Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 2018-04-10
1780188094 Dennis John Samuel Student in an Organized Health Care Education/Training Program Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 2018-03-21
Find all providers in zip 97239

Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407460371 Samantha Nozomi Murata Pharmacist 5415 Sw Beaverton Ct Hwy, Portland, OR 97221 2020-09-08
1053923920 Hoang Lan Ngoc Doan Pharmacist 4201 Ne 129th Pl, Portland, OR 97230-1405 2020-08-20
1528677531 Mi Pham Pharmacist 5824 Se 134th Pl, Portland, OR 97236-2987 2020-07-26
1700407350 Emad Banoub Pharmacist 1105 Hyw 181, Portland, TX 78374 2020-05-05
1255951471 Nam Lai Pharmacist 2655 Se 50th Ave Apt 415, Portland, OR 97206-1577 2020-04-17
1275167439 Mayasah Anas Sedeeq Al Bazzaz Pharmacist 15122 Nw Fig Ln, Portland, OR 97229-6986 2020-02-26
1427696632 Thai Tran Pharmacist 7901 Se Powell Blvd, Portland, OR 97206-2314 2019-12-18
1740825587 Dalia Bayaa Pharmacist 325 Sw Harrison Street, Portland, OR 97201 2019-11-15
1225687981 Pheba Mariam Jones Pharmacist Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 2019-09-05
1952966970 Linda P. Pham Pharmacist 7901 Se Powell Blvd Ste K, Portland, OR 97206-2314 2019-05-06
Find all providers in PORTLAND

Competitor

Search similar providers

City PORTLAND
Zip Code 97239

Improve Information

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Dataset Information

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.

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