AMBER M CLARK (NPI# 1255566220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255566220 |
| Entity Type | Individual |
| Full Name | AMBER M CLARK |
| Credential | MD |
| Practice Address |
1321 Ne 99th Ave Ste 100 Portland OR 97220-9436 |
| Mailing Address |
Po Box 3158 Portland OR 97208-3158 |
| Practice Telephone | 5032159900 |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2020-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD162440 | OR | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500662211 | 05 | |
| OR | RR MEDICARE - PH&S - OREGON (PMG) | P01296606 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114567864 | Amber Mariah Clark | Counselor | 4 Carriage Ln Ste 405, Charleston, SC 29407-6024 | 2020-01-10 |
| 1992358485 | Amber Clark | Nurse Practitioner | 1254 Homer City Way, Pooler, GA 31322-3320 | 2019-07-23 |
| 1073088126 | Amber Clark | Behavioral Analyst | 1818 Kingston Hwy Se, Rome, GA 30161-7504 | 2018-10-04 |
| 1083104624 | Amber Clark | Registered Nurse | 2019 Pine Knot Dr, Heartland, TX 75126-8284 | 2018-05-17 |
| 1942737499 | Amber Clark | Dentist | 1232 N Commerce Dr, Saratoga Springs, UT 84045-4713 | 2017-05-15 |
| 1710247846 | Amber Clark | Speech-Language Pathologist | 60 W Calvary Dr, Lebanon, KY 40033-8421 | 2012-05-23 |
| 1609011592 | Amber S Clark | Speech-Language Pathologist | 898 Sw Fourth Ave., Ontario, ID 97914-2693 | 2008-12-08 |
| 1821638537 | Amber Michelle Clark | Case Manager/Care Coordinator | 439 Sw Michigan St, Lake City, FL 32025-0440 | 2020-01-10 |
| 1699326868 | Amber Nicole Clark | Advanced Practice Midwife | 2000 Olathe Blvd, Ms 2028, Kansas City, KS 66160 | 2019-09-27 |
| 1487206439 | Amber Clark | Optometrist | 12182 Highway 92, Woodstock, GA 30188-4885 | 2019-07-10 |
| Street Address |
1321 NE 99TH AVE STE 100 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97220-9436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346234606 | Marina Mezey | Family Medicine | 1321 Ne 99th Ave, Suite 200, Portland, OR 97220-9436 | 2005-09-01 |
| 1740697432 | Adam Churey | Physician Assistant | 1321 Ne 99th Ave, Suite 100, Portland, OR 97220-9436 | 2014-07-15 |
| 1710307715 | Providence Health & Services - Oregon | Clinic/Center | 1321 Ne 99th Ave, Suite 110a, Portland, OR 97220-9436 | 2014-04-17 |
| 1497190409 | Keevin Bybee | Family Medicine | 1321 Ne 99th Ave, Ste 100, Portland, OR 97220-9436 | 2013-05-03 |
| 1588917009 | Claire-alyce Rochelle Gobble | Family Medicine | 1321 Ne 99th Ave, Suite 100, Portland, OR 97220-9436 | 2012-10-22 |
| 1790054831 | Elise J Mahoney | Nurse Practitioner | 1321 Ne 99th Ave, Suite 100, Portland, OR 97220-9436 | 2011-12-19 |
| 1649582610 | Yana I Bojilova Norman | Nurse Practitioner | 1321 Ne 99th Ave, Suite 100, Portland, OR 97220-9437 | 2010-07-07 |
| 1619290863 | Wajma Niazi | Physician Assistant | 1321 Ne 99th Ave, Ste 100, Portland, OR 97220-9437 | 2010-03-02 |
| 1326377235 | Vantrang Thi Nguyen | Family Medicine | 1321 Ne 99th Ave, Suite 100, Portland, OR 97220-9436 | 2009-12-24 |
| 1609000942 | Ashley E Hart | Family Medicine | 1321 Ne 99th Ave, Suite 100, Portland, OR 97220-9437 | 2009-05-14 |
| Find all providers in the same location | ||||
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639710783 | Christine Elizabeth O'connor | Family Medicine | 6336 Se 61st Ave, Portland, OR 97206-6718 | 2019-09-30 |
| 1427608645 | Carehere LLC | Family Medicine | Carehere Clinic- Nasg Portland, Tn, 160 Kirby Drive, Portland, TN 37148 | 2019-09-19 |
| 1063064285 | Victoria A Deane | Family Medicine | 37 Fall Brook St, Portland, ME 04103-4224 | 2019-07-09 |
| 1598238214 | Whole Systems Healthcare | Family Medicine | 1020 Sw Taylor St Ste 340, Portland, OR 97205-2508 | 2019-01-04 |
| 1770089245 | Richard Farwell Leman | Family Medicine | 800 Ne Oregon St., Suite 772, Portland, OR 97232 | 2018-04-03 |
| 1952803413 | Aleksandra Giedowyn Md PC | Family Medicine | 1923 Ne Broadway Street Suite 2, Portland, OR 97232 | 2018-03-01 |
| 1871943159 | Micah Kiehl | Family Medicine | 4427 Ne Fremont St, Portland, OR 97213-1153 | 2016-06-16 |
| 1083068589 | Carrie Lynn Binder | Family Medicine | 1035 Nw Northrup St, Portland, OR 97209-3017 | 2016-04-20 |
| 1437513835 | Kayce A Spear | Family Medicine | 10803 Se Cherry Blossom Drive, Portland, OR 97216-3107 | 2016-04-12 |
| 1992175509 | Lone Star Evaluations Inc. | Family Medicine | 1500 Wildcat Dr Ste M, Portland, TX 78374-2826 | 2015-09-25 |
| 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.