DR. GREGORY LYNN CLARK (NPI# 1225141823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225141823 |
Entity Type | Individual |
Full Name | DR. GREGORY LYNN CLARK |
Credential | M.D. |
Practice Address |
11790 Sw Barnes Rd Suite 330 Portland OR 97225-5934 |
Practice Telephone | 5032284414 |
Mailing Telephone | 5032284414 |
Enumeration Date | 2006-08-16 |
Last Update Date | 2014-03-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 174400000X | Specialist | WA MD00035294 | WA | Other Service Providers |
N | 174400000X | Specialist | OR MD18493 | OR | Other Service Providers |
Y | 2084S0012X |
Psychiatry & Neurology Specialization: Sleep Medicine |
MD18493 | OR | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760991012 | Gregory Clark | Driver | 1091 Old South Dr, Lakeland, FL 33811 | 2017-09-28 |
1184758229 | Gregory Ray Clark | Physical Therapist | 3 Windsor Ct, Shawnee, OK 74804-2330 | 2007-03-14 |
1114064797 | Gregory Dale Clark | Dentist | 4212 Mcever Rd, Oakwood, GA 30566-2237 | 2007-01-31 |
1689608952 | Gregory D Clark | Social Worker | 118 Broadway N, Ste 810, Fargo, ND 58102-4949 | 2006-07-10 |
1164409728 | Gregory Clark | Counselor | 225 N Beaumont Rd, Prairie Du Chien, WI 53821-1445 | 2005-12-26 |
1528627833 | Gregory Scott Clark | Nurse Anesthetist, Certified Registered | 3333 W Deyoung St, Marion, IL 62959-5884 | 2019-06-10 |
1073178851 | Gregory Clark | Student in an Organized Health Care Education/Training Program | 550 1st Ave, New York, NY 10016-6402 | 2019-05-07 |
1548736622 | Gregory Allen Clark | Marriage & Family Therapist | 1150 5th St Ste 270, Coralville, IA 52241-2933 | 2018-10-16 |
1881055911 | Gregory Scott Clark Jr. | Counselor | 1121 E Southeast Loop 323 Ste 204, Tyler, TX 75701 | 2016-03-17 |
1164841102 | Gregory S Clark | Physician Assistant | 8433 Harcourt Rd Ste 100, Indianapolis, IN 46260-2193 | 2014-04-07 |
Street Address |
11790 SW BARNES RD SUITE 330 |
City | PORTLAND |
State | OR |
Zip Code | 97225-5934 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124565346 | Natura Family Medicine | Clinic/Center | 11790 Sw Barnes Rd, Suite 120, Portland, OR 97225-5934 | 2017-01-25 |
1235548066 | Kristen Yu | Dentist | 11790 Sw Barnes Rd, Building A Suite 280, Portland, OR 97225-5934 | 2014-08-06 |
1558644088 | Lauren Brooke Manning | Dentist | 11790 Sw Barnes Rd, Suite 260, Portland, OR 97225-5934 | 2011-09-21 |
1033423371 | Pediatric Urgent Care LLC | Clinic/Center | 11790 Sw Barnes Rd, Ste. 140, Portland, OR 97225-5934 | 2010-07-28 |
1083855175 | Gerald B Rich, Md, PC | Internal Medicine | 11790 Sw Barnes Rd, Suite 330, Portland, OR 97225-5934 | 2009-03-19 |
1194987206 | Integrative Pediatrics LLC | Pediatrics | 11790 Sw Barnes Rd, Suite 140, Portland, OR 97225-5934 | 2008-06-30 |
1598942989 | Digitrace Care Services | Durable Medical Equipment & Medical Supplies | 11790 Sw Barnes Rd, Suite 330, Portland, OR 97225-5934 | 2008-01-28 |
1265621593 | Sleepmed Therapies, Inc | Durable Medical Equipment & Medical Supplies | 11790 Sw Barnes Rd, Suite 330, Portland, OR 97225-5934 | 2007-10-23 |
1124216429 | Sleepmed Oregon, LLC | Clinic/Center | 11790 Sw Barnes Rd, Suite 330, Portland, OR 97225-5934 | 2007-10-11 |
1285723676 | Michelle Y Skierkowski | Dentist | 11790 Sw Barnes Rd, 280, Portland, OR 97225-5934 | 2006-10-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508425034 | Gabrielle Gonzales | Behavior Technician | 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 | 2019-06-08 |
1558844555 | Tate Roseberry | Behavior Technician | 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 | 2018-09-14 |
1982186300 | Dean Alan Hopkins | Registered Nurse | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 | 2018-09-01 |
1316449168 | Surgery Center At St. Vincent, LLC | Clinic/Center | 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 | 2018-03-07 |
1730606716 | Meghan Louise Lacy | Pediatrics | 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 | 2017-08-29 |
1841733433 | Tia Pugh | Occupational Therapist | 9155 S.w. Barnes Road, East Pavilion, Portland, OR 97225 | 2016-11-30 |
1295185585 | Stephanie Lynn Hart | Nurse Practitioner | 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 | 2016-06-16 |
1962866244 | Bejian Shamloo | Chiropractor | 10200 Sw Eastridge St., Suite 235, Portland, OR 97225 | 2016-04-12 |
1992162630 | Robert Joseph Yoder | Psychologist | 9045 Barnes Rd, Portland, OR 97225 | 2016-01-26 |
1316303951 | Katie Herold | Chiropractor | 9315 Sw Morrison St, Portland, OR 97225 | 2016-01-12 |
Find all providers in zip 97225 |
Taxonomy Code | 2084S0012X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Sleep Medicine |
A Psychiatrist or Neurologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. |
Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306041777 | Kaanchan Gangal | Psychiatry & Neurology | 2228 Nw Pettygrove St Ste 150, Portland, OR 97210-2761 | 2007-06-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891099933 | St. Charles Health System, Inc. | Psychiatry & Neurology | 2042 Ne Williamson Ct, Bend, OR 97701-3760 | 2011-01-04 |
1437453776 | St. Charles Health System, Inc. | Psychiatry & Neurology | 655 Nw Jackpine Avenue, Redmond, OR 97756-1334 | 2010-12-30 |
1104069319 | Westside Sleep Center, LLC | Psychiatry & Neurology | 7450 Sw Beveland St, Suite 120, Tigard, OR 97223 | 2009-04-17 |
1124213251 | Olukayode Olugbemiga, Ayo Ogunrinde | Psychiatry & Neurology | 2400 Lancaster Dr Ne, Salem, OR 97305-1221 | 2007-09-11 |
1356548903 | Hillary Elizabeth Rachel Lowenstein | Psychiatry & Neurology | 9280 Se Sunnybrook Blvd, Suite 300, Clackamas, OR 97015-9353 | 2007-06-28 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.