Individual
CHELSEA ELIZABETH CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1130 NW 22ND AVE STE 640, PORTLAND, OR 97210-5488
(503) 229-7976
(503) 274-4867
Mailing address
1130 NW 22ND AVE STE 640, PORTLAND, OR 97210-5488
(503) 229-7976
(503) 274-4867
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10025789
OR
Other
Enumeration date
08/16/2024
Last updated
01/07/2025
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