DR. KYLIE CLARK M.D.
NPI 1861788101
Pediatrics in Portland, OR

Q: What is Kylie Clark's NPI number?

The NPI number for Kylie Clark is 1861788101. It was assigned to this individual provider in the NPPES registry on June 24, 2011.

Q: What is Kylie Clark's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Kylie Clark was last updated on December 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 June 24, 2011

5050 NE HOYT ST, SUITE B55, PORTLAND, OR 97213(503) 233-5393(503) 659-8984 Get Directions Write a Review

NPPES record last updated: December 22, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Kylie Clark M.d. NPPES

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

DR. KYLIE CLARK M.D. (NPI 1861788101) is an individual pediatrics provider in Portland, Oregon, licensed in Oregon (MD168562) and active in the NPI registry since June 2011.

NPPES Registry Identity

NPI1861788101

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. KYLIE CLARKCredential: M.D.

Location Address5050 NE HOYT ST, SUITE B55Portland, OR 97213-2991

Mailing Address5050 Ne Hoyt St, Suite B55Portland, OR 97213-2991 · (503) 233-5393 · Fax (503) 659-8984

Phone(503) 233-5393

Fax(503) 659-8984

Sole ProprietorNo

Enumeration DateJune 24, 2011

Last NPPES UpdateDecember 22, 2014

✔ NPI 1861788101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in OR · MD168562

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 2011018538 (MO)

5050 NE HOYT ST, Portland, OR 97213

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Other Identifiers 1

Medicaid500674850OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

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.

MS. MOLLY ANNE BREDENBERG PT

Physical Therapist

5050 NE HOYT ST
PORTLAND, OR 97213

Multnomah County (503) 215-0424

ALISON MITCHELL MD

Family Medicine

5050 NE HOYT ST, SUITE 240
PORTLAND, OR 97213

Multnomah County (503) 215-6480

JOHN EDWARD HEFFNER MD

Internal Medicine (Pulmonary Disease)

5050 NE HOYT ST, SUITE 540
PORTLAND, OR 97213

Multnomah County (503) 215-6600

DR. THERESA MARIE MORIKAWA PHARMD, BCACP

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

5050 NE HOYT ST
PORTLAND, OR 97213

Multnomah County (503) 215-6296

JAMES H IMATANI, JR. M.D., PC

Surgery (Surgical Oncology)

5050 NE HOYT ST, SUITE 610
PORTLAND, OR 97213

Multnomah County (503) 467-4761

DONALD ANDREW YOUNG III MD

Urology

5050 NE HOYT ST, SUITE 514
PORTLAND, OR 97213

Multnomah County (503) 488-2323

SPECIALTY SURGERY PC

Surgery

5050 NE HOYT ST, STE 511
PORTLAND, OR 97213

Multnomah County (503) 232-0942

GRETCHEN E VANDERBEEK MD

Internal Medicine

5050 NE HOYT ST, SUITE 540
PORTLAND, OR 97213

Multnomah County (503) 215-6600

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 Kylie Clark's NPI number?

The NPI number for Kylie Clark is 1861788101. It was assigned to this individual provider in the NPPES registry on June 24, 2011.

Where is Kylie Clark located?

Kylie Clark practices at 5050 NE Hoyt St Suite B55, Portland, OR 97213. The listed phone number is (503) 233-5393.

What is Kylie Clark's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Kylie Clark accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Kylie Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kylie Clark was last updated on December 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.