GRAHAM SCOTT CLARK (NPI# 1861684581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861684581 |
| Entity Type | Individual |
| Full Name | GRAHAM SCOTT CLARK |
| Credential | MD |
| Practice Address |
2525 Ne 139th St Ste 240 Vancouver WA 98686-2719 |
| Mailing Address |
700 Ne 87th Ave Ste 370 Vancouver WA 98664-1913 |
| Practice Telephone | 3608822778 |
| Practice Fax Number | 3606041726 |
| Mailing Telephone | 3603973352 |
| Mailing Fax Number | 3606041771 |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2012-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | MD60250520 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 002796100 | 05 |
| Street Address |
2525 NE 139TH ST STE 240 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98686-2719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134115512 | Duy Quang Tran | Family Medicine | 2525 Ne 139th St, Vancouver, WA 98686-2719 | 2005-09-21 |
| 1013426584 | Allison Lawrence | Advanced Practice Midwife | 2525 Ne 139th St, Vancouver, WA 98686 | 2017-09-27 |
| 1124571971 | Rebecca Rowney | Physician Assistant | 2525 Ne 139th St, Vancouver, WA 98686-2719 | 2016-07-28 |
| 1285094896 | Lori Watson | Advanced Practice Midwife | 2525 Ne 139th St, Vancouver, WA 98686-2719 | 2016-02-25 |
| 1801210323 | Stephanie Olin | Physical Therapist | 2525 Ne 139th St, Suite #170, Vancouver, WA 98686-2719 | 2014-02-05 |
| 1932547817 | Sean Robert Williams | Pharmacist | 2525 Ne 139th St, Vancouver, WA 98686-2719 | 2013-06-12 |
| 1972867380 | Michelle L. Delplanche | Obstetrics & Gynecology | 2525 Ne 139th St, Suite 270, Vancouver, WA 98686-2719 | 2012-06-29 |
| 1225317308 | Alexandra Maree Jakubowski | Physical Therapist | 2525 Ne 139th St, Vancouver, WA 98686-2719 | 2011-08-08 |
| 1447543459 | Aaron L Adam | Physician Assistant | 2525 Ne 139th St, Vancouver, WA 98686-2719 | 2011-05-24 |
| 1912299256 | Evan A Olson | Ophthalmology | 2525 Ne 139th St, #280, Vancouver, WA 98686-2719 | 2011-05-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154891117 | Dorota Bozena Barton | Speech-Language Pathologist | 2121 Ne 139th Street Mob A, Suite 200, Vancouver, WA 98686 | 2018-12-03 |
| 1881161818 | Michelle Wolfe | Dental Assistant | A101, 1484, 14313 Ne 20th Ave, Vancouver, WA 98686 | 2018-10-29 |
| 1306321237 | Rainier Springs Physician Group, LLC | General Practice | 2805 Ne 129th Street, Vancouver, WA 98686 | 2018-09-26 |
| 1801382387 | Kristopher K Kostenko | Dentist | 14201 Ne 20th Ave Ste A101, Vancouver, WA 98686 | 2018-07-08 |
| 1689164071 | Tegan Mills | Occupational Therapist | 7101 Ne 109th Street, Apt 64, Vancouver, WA 98686 | 2018-05-11 |
| 1164924122 | Kate Kristin Lawrence | Speech-Language Pathologist | 2215 Ne 104th St, Vancouver, WA 98686 | 2018-03-06 |
| 1437609567 | Elina Baranets | Registered Nurse | 14204 Ne Salmon Creek Avenue, Vancouver, WA 98686 | 2016-10-13 |
| 1386039550 | Sean Vikram Bhatia | Internal Medicine | Kaiser Salmon Creek, 14406 Ne 20th Ave, Vancouver, WA 98686 | 2015-04-03 |
| 1376988642 | Lindsay Hussey-andersen | Orthopaedic Surgery | 2525 Ne 139th St Ste 140, Vancouver, WA 98686 | 2013-05-01 |
| 1710253109 | Legacy Salmon Creek Hospital | Speech-Language Pathologist | 2121 Ne 139th St., Mob A, Ste 200, Vancouver, WA 98686 | 2012-03-29 |
| Find all providers in zip 98686 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629694864 | Fishers Landing Internal Medicine | Dermatology | 1405 Se 164th Ave Ste 101, Vancouver, WA 98683-9644 | 2020-06-23 |
| 1922253319 | Henrik Martens | Dermatology | 324 W 36th St, Vancouver, WA 98660-1938 | 2008-11-26 |
| 1528289063 | Pacific Dermatology P.C. | Dermatology | 15613 Se Mill Plain Blvd, Vancouver, WA 98684-8905 | 2007-05-01 |
| 1598842544 | Michele Mckee Thompson | Dermatology | 1499 Se Tech Center Pl, Ste 135, Vancouver, WA 98683-5529 | 2006-11-01 |
| 1922456078 | Sarah Anne Kam | Dermatology | 2525 Ne 139th St Ste 240, Vancouver, WA 98686-2719 | 2016-05-31 |
| 1851751283 | Michele M Thompson Md LLC | Dermatology | 1499 Se Tech Center Pl, Ste 135, Vancouver, WA 98683-5528 | 2016-02-26 |
| 1114153459 | Viet Quoc Nguyen | Dermatology | 2525 Ne 139th St, Vancouver, WA 98686-2719 | 2009-06-01 |
| 1437319423 | Katherine Leslie Boyd | Dermatology | 501 Se 172nd Ave, Suite 250, Vancouver, WA 98684-9542 | 2008-06-12 |
| 1760676910 | Elizabeth Sims Dawson | Dermatology | 8614 E Mill Plain Blvd, Suite 400, Vancouver, WA 98664-2059 | 2007-08-30 |
| 1831279629 | Jason Boyd | Dermatology | 2525 Ne 139th St, # 240, Vancouver, WA 98686-2719 | 2006-10-16 |
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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.