DR. CALVIN CLAYTON CLARK (NPI# 1265722342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265722342 |
| Entity Type | Individual |
| Full Name | DR. CALVIN CLAYTON CLARK |
| Credential | M.D. |
| Practice Address |
6701 Se Evergreen Hwy Vancouver WA 98661 |
| Practice Telephone | 3606950563 |
| Mailing Telephone | 3606950563 |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2011-04-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 9351 | WA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295179893 | Calvin J Clark | Community/Behavioral Health | 2205 Spanish Town Ave, North Las Vegas, NV 89031-0903 | 2013-04-25 |
| 1811298458 | Calvin Clark | Nurse Practitioner | 808 Joliet Ave Unit 220, Lubbock, TX 79415-1158 | 2010-11-13 |
| 1457552721 | Calvin Clark | Case Manager/Care Coordinator | 2003 Se Walton Blvd, Bentonville, AR 72712-3725 | 2007-05-31 |
| Street Address |
6701 SE EVERGREEN HWY |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228417 | Cynthia Ann Holt | Social Worker | 4608 Ne 47 Street, Vancouver, WA 98661 | 2020-06-01 |
| 1235793027 | James Dostert | Counselor | 1601 E 4th Blvd. Bldg. 17, Ste A212, Vancouver, WA 98661 | 2019-04-26 |
| 1306305289 | Kathryn Susanne Scott | Social Worker | Attn: Kathryn Scott, V3cnh, 1601 E. Fourth Plain Blvd., Vancouver, WA 98661 | 2019-03-19 |
| 1952860637 | Alice Rogers | Occupational Therapist | Vancouver Public Schools, 2901 Falk Rd., Vancouver, WA 98661 | 2019-03-13 |
| 1053878538 | Paula Moore | Counselor | 9626 Ne Fourth Plain Blvd, Vancouver, WA 98661 | 2019-02-21 |
| 1558825729 | Cassandra Marie Nichols | Counselor | 1601 E 4th Blvd, Vancouver, WA 98661 | 2019-01-22 |
| 1548734148 | Lisa Kelly | Counselor | 1601 E 4th Blvd., Vancouver, WA 98661 | 2019-01-16 |
| 1518444025 | Columbia Pharmacy | Pharmacy | 2700 Ne Andresen Rd Ste E3, Vancouver, WA 98661 | 2018-07-26 |
| 1023505229 | Ellen Barbour | Counselor | 1601 E 4th Plain Blvd Bldg. 17, Ste A212, Vancouver, WA 98661 | 2018-04-13 |
| 1679096325 | Brian Scott Coleman | Counselor | 1601 East Fourth Plain Blvd., Bldg #17, Ste. A212, Vancouver, WA 98661 | 2017-07-24 |
| Find all providers in zip 98661 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710490545 | Jessica Lynn Jacoby | Pediatrics | 2404 Ne 187th Pl, Vancouver, WA 98684-6448 | 2017-11-15 |
| 1891215109 | Khalid Taha | Pediatrics | 4480 Oak Street, K4-151, Bc Children's Hospital, Vancouver, BRITISH COLUMBIA V6H 3V4 | 2017-06-27 |
| 1265798821 | Paul Joshua Goodwin | Pediatrics | 505 Ne 87th Ave Ste 120, Evergreen Pediatrics Clinic, Vancouver, WA 98664-1965 | 2012-04-09 |
| 1598977209 | Jason Daniel Wister | Pediatrics | 400 Northeast Mother Joseph Place, Vancouver, WA 98664 | 2007-05-04 |
| 1578589784 | Stacy Lynn Drasen | Pediatrics | 501 Se 172nd Ave Ste 150, Vancouver, WA 98684-9542 | 2006-07-14 |
| 1194704445 | Jean Marie Haggerty | Pediatrics | 7101 Ne 137th Ave Ofc, Vancouver, WA 98682-4933 | 2006-01-14 |
| 1104177450 | Megan M Klenow | Pediatrics | 2211 Ne 139th St, Vancouver, WA 98686-2742 | 2012-09-26 |
| 1043536980 | Jing Jing Wang | Pediatrics | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2010-04-16 |
| 1396931523 | Lijuan Leslie Yu | Pediatrics | 11719 Ne 95th St, #f, Vancouver, WA 98682-2444 | 2007-09-21 |
| 1447457882 | Elzbieta Zdanowicz | Pediatrics | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2007-06-29 |
| Find all providers in VANCOUVER | ||||
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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.