Individual provider · Type 1 NPI

Lisa Diane Clark, FNP

Family Nurse Practitioner · Portland, OR

NPI number 1942276282 Active

Practice location

265 N Broadway St
Portland, OR 97227-1800

Fax (503) 274-4814

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X200550098 (OR)

Family Nurse Practitioner: Definition to come...

11 other providers at this address

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About NPI 1942276282

Lisa Diane Clark, FNP's National Provider Identifier is 1942276282, issued on Feb 27, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Portland, OR. The record was last updated on Dec 22, 2011.