MADELINE DOROTHY CLARK
NPI 1871076125
Registered Nurse in Medford, OR

Q: What is Madeline Clark's NPI number?

The NPI number for Madeline Clark is 1871076125. It was assigned to this individual provider in the NPPES registry on September 12, 2018.

Q: What is Madeline Clark's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Q: When was this NPI record last updated?

The NPPES record for Madeline Clark was last updated on September 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 September 12, 2018

610 S PEACH ST, MEDFORD, OR 97501(541) 842-3855(541) 842-3521 Get Directions Write a Review

NPPES record last updated: September 12, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Madeline Dorothy Clark NPPES

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

MADELINE DOROTHY CLARK (NPI 1871076125) is an individual registered nurse in Medford, Oregon, licensed in Oregon (201242340RN) and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1871076125

Entity TypeIndividualFemale

Primary Taxonomy163W00000X

Provider Legal NameMADELINE DOROTHY CLARK

Location Address610 S PEACH STMedford, OR 97501-3310

Mailing Address3617 S Pacific HwyMedford, OR 97501-8957 · (541) 535-6239 · Fax (541) 512-1026

Phone(541) 842-3855

Fax(541) 842-3521

Sole ProprietorNo

Enumeration DateSeptember 12, 2018

✔ NPI 1871076125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in OR · 201242340RN

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

610 S PEACH ST, Medford, OR 97501

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Other Providers at the Same Location NPPES 6

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

SHAQUAYA HENRY

Counselor