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Contact Information

DEREK W CLARK, MD
9135 SW BARNES RD STE 461
PORTLAND, OR97225-6643
 Phone: 503-216-1150
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurocritical Care

2084A2900X 86 Physician/Neuropsychiatry
 

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for DEREK W CLARK · (Male)

NPI Number 1518283589
Status Active
Credentials MD
Entity Individual
Enumeration date 04/15/2010
Last updated 11/25/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • OR License # MD158550
  • WA License # MD60658145
Hospital affiliation(s)
  • SWEDISH MEDICAL CENTER/CHERRY HILL - (Acute Care)
    500 17TH AVENUE
    SEATTLE, WA 98122
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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