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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DEREK WILLIAM CLARK, M.D.

Active

DEREK WILLIAM CLARK, M.D. is a 2084A2900X healthcare provider located in PORTLAND, Oregon. NPI 1518283589 is currently active in the NPPES registry. Verify at CMS.

2084A2900X · PORTLAND, OR

Registration Details

NPI Number
1518283589
Provider Type
Individual
Gender
Male
NPI Issued
Apr 15, 2010 (16.345801769099 yrs)
Last Updated
Nov 25, 2022
Licenses
MD60658145 (WA)
MD158550 (OR)
MD158550 (OR)

Practice Information

Address
9135 SW BARNES RD STE 461
PORTLAND, OR, 972256643
Browse OR providers · Browse ZIP 97225
Phone
5032161150
Primary Specialty
2084A2900X
2084A2900X
Additional Specialty
Neurology
Additional Specialty
2084A2900X

Other 2084A2900X Providers in PORTLAND, OR

Name Credential NPI
JOHN F ZURASKY MD 1255337572
TARVEZ TUCKER MD 1770537839
DR. JULIA CHRISTINE DURRANT M.D. 1871665828
LILITH MARION JUDD M.D. 1508032327
BRUCE ROBERT GERYK MD 1275794802
DR. BETHANY MICHELLE MCCLENATHAN M.D. 1073759841
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.