Individual provider · Type 1 NPI

Susan M. Clack, MD

Family Medicine Physician · Tigard, OR

NPI number 1669424917 Active

Practice location

13200 SW Pacific Hwy
Tigard, OR 97223-4828

Call (503) 598-2000 Map

Fax (503) 639-0920

Mailing address

PO Box 1517
Pendleton, OR 97801-0410

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XMD14435 (OR)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1669424917

Susan M. Clack, MD's National Provider Identifier is 1669424917, issued on May 16, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Tigard, OR. The record was last updated on Jul 23, 2026.