SAMANTHA LEIGH CLARK C-PNP
NPI 1841908894
Nurse Practitioner - Pediatrics in Keizer, OR

Q: What is Samantha Clark's NPI number?

The NPI number for Samantha Clark is 1841908894. It was assigned to this individual provider in the NPPES registry on November 8, 2022.

Q: What is Samantha Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Clark was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since November 08, 2022

4904 RIVER RD N, KEIZER, OR 97303(503) 390-2434 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Samantha Leigh Clark C-pnp NPPES

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

SAMANTHA LEIGH CLARK C-PNP (NPI 1841908894) is an individual pediatrics provider in Keizer, Oregon, licensed in Oregon (10047719) and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1841908894

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameSAMANTHA LEIGH CLARKCredential: C-PNP

Location Address4904 RIVER RD NKeizer, OR 97303-4540

Mailing Address4904 River Rd NKeizer, OR 97303-4540 · (503) 390-2434

Phone(503) 390-2434

Sole ProprietorNo

Enumeration DateNovember 8, 2022

Last NPPES UpdateJuly 22, 2025

NPPES CertifiedJuly 22, 2025

✔ NPI 1841908894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in OR · 10047719

4904 RIVER RD N, Keizer, OR 97303

Open in Google Maps ↗

Other Providers at the Same Location NPPES 2

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

DR. ROBERT CHARLES WINCHELL M.D.

Pediatrics

4904 RIVER RD N
KEIZER, OR 97303

Marion County (407) 271-0684

LITTLE CRITTERS PEDIATRICS LLC

Pediatrics

4904 RIVER RD N
KEIZER, OR 97303

Marion County (503) 390-2434

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 Samantha Clark's NPI number?

The NPI number for Samantha Clark is 1841908894. It was assigned to this individual provider in the NPPES registry on November 8, 2022.

Where is Samantha Clark located?

Samantha Clark practices at 4904 River Rd N, Keizer, OR 97303. The listed phone number is (503) 390-2434.

What is Samantha Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Samantha Clark was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.