Individual provider · Type 1 NPI

Michelle Ruth Clark, PA-C

Physician Assistant · Portland, ME

NPI number 1750805982 Active

Practice location

144 State St
Portland, ME 04101-3776

Mailing address

77 Danforth St Apt 2
Portland, ME 04101-3588

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPAN1716 (ME)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1750805982

Michelle Ruth Clark, PA-C's National Provider Identifier is 1750805982, issued on Jul 30, 2017. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Portland, ME. The record was last updated on Jul 30, 2017.