ZACHARY THOMAS CLARK MD
NPI 1649118712
Student in an Organized Health Care Education/Training Program in Portland, OR
About Zachary Thomas Clark Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ZACHARY THOMAS CLARK MD (NPI 1649118712) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Zachary Thomas Clark Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
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 Zachary Clark's NPI number?
The NPI number for Zachary Clark is 1649118712. It was assigned to this individual provider in the NPPES registry on March 23, 2026.
Where is Zachary Clark located?
Zachary Clark practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 494-8311.
What is Zachary Clark's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Zachary Clark enrolled in Medicare?
Yes. Zachary Clark is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Zachary Clark was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Zachary Thomas Clark, MD · NPI 1649118712
Student in an Organized Health Care Education/Training Program provider in Portland, Oregon. Individual provider, active in the CMS NPPES registry since March 23, 2026.
## Identity
- **NPI:** 1649118712 (Entity type: Individual)
- **Enumerated:** March 23, 2026
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 3181 SW SAM JACKSON PARK RD, Portland, OR 97239-3011
- **Phone:** (503) 494-8311
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1649118712) · Data from the CMS NPPES public registry.