Diana Martha Clark (NPI# 1598736035, PAC ID# 8325368368) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1598736035 |
| PAC ID by PECOS | 8325368368 |
| Professional Enrollment ID | I20150514002760 |
| Full Name | Diana Martha Clark |
| Address |
4714 Sw 2nd Ave Portland OR 97239-2890 |
| Phone Number | 5032324416 |
| Gender | F |
| Graduation Year | 1979 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4714 Sw 2nd Ave, Portland, OR 97239-2890 | 5032324416 |
| Street Address |
4714 SW 2ND AVE |
| City | PORTLAND |
| State | OR |
| Zip | 97239-2890 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Justin Arnot | Chiropractic | 6339 Sw Capitol Hwy, Portland, OR 97239-1937 | |
| Rachel Murphy | Optometry | Abc Optometric PC | 1522 Sw Sunset Blvd, Portland, OR 97239-2626 |
| Steven G Tillett | Podiatry | 6274 Sw Capitol Hwy, Portland, OR 97239-2674 | |
| Susannah B Castle | Psychologist, Clinical | 1509 Sw Sunset Blvd, Suite 2c, Portland, OR 97239-2689 | |
| Joshua Louis Clark | Psychologist, Clinical | 1509 Sw Sunset Blvd, Suite 2c, Portland, OR 97239-2689 | |
| Maureen Delongis | Clinical Social Worker | University Professional Services | 707 Sw Gaines St, Portland, OR 97239-2901 |
| Randall A Phelps | Pediatric Medicine | University Professional Services | 707 Sw Gaines St, Portland, OR 97239-2901 |
| Bethany Tara Samuelson Bannow | Hematology/oncology | Oregon Health and Science University | 707 Sw Gaines St, Portland, OR 97239-2901 |
| Joseph D Pinter | Neurology | University Professional Services | 707 Sw Gaines St, Portland, OR 97239-2901 |
| Arlene Hagen | Psychiatry | University Professional Services | 707 Sw Gaines St, Portland, OR 97239-2901 |
| Find all physicians in zip 97239 | |||
| City | PORTLAND |
| Zip Code | 97239 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | PORTLAND + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Diana Martha Clark.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.