Individual provider · Type 1 NPI
Samantha Leigh Clark, C-PNP
Pediatric Nurse Practitioner · Keizer, OR
NPI number
1841908894
Active
Practice location
4904 River Rd N
Keizer, OR 97303-4540
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 10047719 (OR) |
Pediatric Nurse Practitioner: Definition to come...
2 other providers at this address
About NPI 1841908894
Samantha Leigh Clark, C-PNP's National Provider Identifier is 1841908894, issued on Nov 8, 2022. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Keizer, OR. The record was last updated on Jul 22, 2025.