Individual provider · Type 1 NPI

Clark Edmund Sisk, MD

Dermatology Physician · Portland, OR

NPI number 1154436830 Active

Practice location

3600 N Interstate Ave
Portland, OR 97227-1106

Call (503) 331-3033 Map

Fax (503) 280-2930

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician Primary 207N00000XOR MD12188 (OR)
Dermatology Physician 207N00000XWA MD00035021 (WA)

Dermatology Physician: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…

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About NPI 1154436830

Clark Edmund Sisk, MD's National Provider Identifier is 1154436830, issued on Aug 20, 2006. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Portland, OR. The record was last updated on Jul 9, 2007.