Dr. Kylie Clark
M.D. | Pediatrics | Female
Dr. Kylie Clark, M.D. is a Portland, Oregon based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Kylie Clark is
5050 Ne Hoyt St, Suite B55, Portland, Oregon - 97213-2991. She can be contacted on phone at
503-233-5393 and fax number 503-659-8984.
Dr. Kylie Clark is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Kylie Clark is
1861788101 which was assigned by NPPES on 24 Jun, 2011 and it was last updated on 22 Dec, 2014.
Dr. Kylie Clark license number is
MD168562 for Pediatrics (208000000X) in Oregon.
Dr. Kylie Clark is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Kylie Clark basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Kylie Clark |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Dr. Kylie Clark address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 5050 Ne Hoyt St, Suite B55
Portland, OR, 97213-2991
United States |
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| Phone Number : | 503-233-5393 |
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| Fax Number : | 503-659-8984 |
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Professional Identification Codes:
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.
| NPI Number : | 1861788101 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 24 Jun, 2011 |
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| Last Updated On : | 22 Dec, 2014 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kylie Clark are as mentioned. Primary taxonomy code for Dr. Kylie Clark, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | No | 2011018538 | MO |
| 208000000X | Pediatrics | Yes | MD168562 | OR |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Kylie Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 500674850 | MEDICAID | OR | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 5050 Ne Hoyt St, Suite B55
Portland, OR, 97213-2991
United States |
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| Phone Number : | 503-233-5393 |
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| Fax Number : | 503-659-8984 |
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Business Location:
Patients can refer following map for directions to
Dr. Kylie Clark practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.