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DUSTIN J CLARK PHARMD
NPI 1235757915
Pharmacist - Ambulatory Care in Portland, OR

Active since July 09, 2020
4400 NE HALSEY ST STE 490, PORTLAND, OR 97213(503) 893-6900(503) 487-3595 Get Directions Write a Review

NPPES record last updated: July 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dustin J Clark Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DUSTIN J CLARK PHARMD (NPI 1235757915) is an individual ambulatory care provider in Portland, Oregon, licensed in Oregon (RPH-0017464) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1235757915
Entity TypeIndividualMale
Primary Taxonomy1835P2201X
Provider Legal NameDUSTIN J CLARKCredential: PHARMD
Location Address4400 NE HALSEY ST STE 490Portland, OR 97213-1545
Mailing Address8423 Sw Pointer Way Apt MPortland, OR 97225-7316 · (541) 301-5735
Phone(503) 893-6900
Fax(503) 487-3595
Sole ProprietorNo
Enumeration DateJuly 9, 2020
NPPES CertifiedJuly 9, 2020
✔ NPI 1235757915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Ambulatory CarePharmacy Service Providers
Taxonomy Code1835P2201X
License✔ Licensed in OR · RPH-0017464
Definition
A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community.
4400 NE HALSEY ST STE 490, Portland, OR 97213
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KRISTINA LEE BUTLER PHARMD, BCPS
Pharmacist (Pharmacotherapy)
4400 NE HALSEY ST STE 490
PORTLAND, OR 97213
Multnomah County (503) 893-6900
JUSTIN BACHMAN PHARMD
Pharmacist
4400 NE HALSEY ST STE 490
PORTLAND, OR 97213
Multnomah County (503) 893-6900
KATHERE LYON
Pharmacist (Ambulatory Care)
4400 NE HALSEY ST STE 490
PORTLAND, OR 97213
Multnomah County (503) 893-6900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dustin Clark's NPI number?

The NPI number for Dustin Clark is 1235757915. It was assigned to this individual provider in the NPPES registry on July 9, 2020.

Where is Dustin Clark located?

Dustin Clark practices at 4400 NE Halsey St Ste 490, Portland, OR 97213. The listed phone number is (503) 893-6900.

What is Dustin Clark's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Ambulatory Care, with taxonomy code 1835P2201X.

When was this NPI record last updated?

The NPPES record for Dustin Clark was last updated on July 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.