KATIE JANE CLARK
NPI 1780225474
Specialist in Lebanon, OR

Q: What is Katie Clark's NPI number?

The NPI number for Katie Clark is 1780225474. It was assigned to this individual provider in the NPPES registry on October 3, 2019.

Q: What is Katie Clark's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Katie Clark was last updated on October 3, 2019. 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.

Active since October 03, 2019

44 INDUSTRIAL WAY STE D, LEBANON, OR 97355(541) 801-4113 Get Directions Write a Review

NPPES record last updated: October 3, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Katie Jane Clark NPPES

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

KATIE JANE CLARK (NPI 1780225474) is an individual specialist in Lebanon, Oregon and active in the NPI registry since October 2019. She maintains a secondary practice location in Lebanon.

NPPES Registry Identity

NPI1780225474

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameKATIE JANE CLARK

Location Address44 INDUSTRIAL WAY STE DLebanon, OR 97355-4364

Mailing Address1305 Hill St SeAlbany, OR 97322-6711 · (541) 801-4113

Phone(541) 801-4113

Sole ProprietorNo

Enumeration DateOctober 3, 2019

✔ NPI 1780225474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

44 INDUSTRIAL WAY STE D, Lebanon, OR 97355

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Secondary Practice Location 1

Location 144 Industrial Way Ste DLebanon, OR 97355-4364 · Phone (541) 259-5880

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 Katie Clark's NPI number?

The NPI number for Katie Clark is 1780225474. It was assigned to this individual provider in the NPPES registry on October 3, 2019.

Where is Katie Clark located?

Katie Clark practices at 44 Industrial Way Ste D, Lebanon, OR 97355. The listed phone number is (541) 801-4113.

What is Katie Clark's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Katie Clark was last updated on October 3, 2019. 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.