Individual provider · Type 1 NPI

Shirelle Latrice Clark, NP

Family Nurse Practitioner · Portland, OR

NPI number 1144797085 Active

Practice location

3303 S Bond Ave
Portland, OR 97239-4501

Fax (503) 494-5385

Mailing address

1400 SW 5th Ave Ste 500
Portland, OR 97201-5537

Other practice locations

  • 1050 Eagles Landing Pkwy Ste 302, Stockbridge, GA 30281-9250 · (678) 723-1831

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X10003750 (OR)
Family Nurse Practitioner 363LF0000XRN228546 (GA)

Family Nurse Practitioner: Definition to come...

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About NPI 1144797085

Shirelle Latrice Clark, NP's National Provider Identifier is 1144797085, issued on Oct 29, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Portland, OR. The record was last updated on Mar 21, 2023.