Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CLARK EDMUND SISK, M.D.
Active Sole ProprietorDR. CLARK EDMUND SISK, M.D. is a Dermatology healthcare provider located in PORTLAND, Oregon. NPI 1154436830 is currently active in the NPPES registry. Verify at CMS.
Dermatology · PORTLAND, OR
Registration Details
- NPI Number
- 1154436830
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 20, 2006 (20.022760170741 yrs)
- Last Updated
- Jul 9, 2007
- Licenses
-
OR MD12188 (OR)WA MD00035021 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3600 N INTERSTATE AVEPORTLAND, OR, 972271106Browse OR providers · Browse ZIP 97227
- Phone
- 5033313033
- Fax
- 5032802930
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Dermatology
Other Dermatology Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| DR. BERNARD A GASCH | MD | 1407851363 |
| BEATA L RYDZIK | MD | 1457357576 |
| DIANE ROMAYNE BAKER | MD | 1083613913 |
| BERT G TAVELLI | MD | 1013918978 |
| DR. DEBBIE L MILLER | M.D. | 1205838075 |
| REBECCA A. BREMNER | M.D. | 1801862099 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.