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Individual

MATTHEW HARVEY CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
10100 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(800) 813-2000
Mailing address
500 NE MULTNOMAH ST STE 100, PORTLAND, OR 97232-2031

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA10003694
WA
363A00000X
Physician Assistant
Primary
PA214173
OR
363A00000X
Physician Assistant
PA22496
CA
363AM0700X
Medical Physician Assistant
PA10003694
WA
363AS0400X
Surgical Physician Assistant
PA22496
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8451098
WA
Enumeration date
08/01/2006
Last updated
03/18/2026
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