Robert M Clark (NPI# 1609932490, PAC ID# 3870676323) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1609932490 |
| PAC ID by PECOS | 3870676323 |
| Professional Enrollment ID | I20080207000268 |
| Full Name | Robert M Clark |
| Address |
200 Se Hailey Ave Suite 301 Pendleton OR 97801-3072 |
| Phone Number | 5412764017 |
| Gender | M |
| Graduation Year | 1982 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 200 Se Hailey Ave, Suite 301, Pendleton, OR 97801-3072 | 5412764017 |
| Street Address |
200 SE HAILEY AVE SUITE 301 |
| City | PENDLETON |
| State | OR |
| Zip | 97801-3072 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Derek James Blankenship | Optometry | Vision Source Pendleton, LLC | 1815 Sw Emigrant Ave, Pendleton, OR 97801-1843 |
| Michelle M Monkman | Optometry | Vision Source Pendleton, LLC | 1815 Sw Emigrant Ave, Pendleton, OR 97801-1843 |
| Clayton M Briscoe | Optometry | Vision Source Pendleton, LLC | 1815 Sw Emigrant Ave, Pendleton, OR 97801-1843 |
| Renata A Anderson | Qualified Audiologist | 2237 Sw Court Ave, Pendleton, OR 97801-1896 | |
| Conan S Fisher | Chiropractic | 424 Sw 6th St, Pendleton, OR 97801-2026 | |
| Gary Zimmerman | Chiropractic | 409 Sw 4th St, Suite A, Pendleton, OR 97801-2069 | |
| Daniel Fletcher Byrd | Podiatry | Blue Mountain Foot Specialists Inc | 714 Sw Dorion Ave, Suite 1, Pendleton, OR 97801-2086 |
| Terrol D Marshall | Podiatry | Blue Mountain Foot Specialists Inc | 714 Sw Dorion Ave, Suite 1, Pendleton, OR 97801-2086 |
| Debra A Obrien | Clinical Social Worker | 135 Se 1st St, Pendleton, OR 97801-2203 | |
| Daniel E Eslinger | Nurse Practitioner | 125 Se 1st St, Pendleton, OR 97801-2203 | |
| Find all physicians in zip 97801 | |||
| City | PENDLETON |
| Zip Code | 97801 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | PENDLETON + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Robert M Clark.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.