Individual provider · Type 1 NPI

Macey Clark, PNP-C, AGNP-C

Family Nurse Practitioner · La Grande, OR

NPI number 1417483553 Active

Practice location

710 Sunset Dr, Suite E
La Grande, OR 97850-1200

Call (541) 962-5600 Map

Mailing address

PO Box 3290
La Grande, OR 97850-7290

Other practice locations

  • 142 E Dearborn St, Union, OR 97883-9174 · (541) 562-6180

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600X201704371NP-PP (OR)
Family Nurse Practitioner Primary 363LF0000X201704371NP-PP (OR)

Family Nurse Practitioner: Definition to come...

8 other providers at this address

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About NPI 1417483553

Macey Clark, PNP-C, AGNP-C's National Provider Identifier is 1417483553, issued on May 10, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in La Grande, OR. The record was last updated on May 29, 2025.