Individual
LYNNE MARIE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP, RN
Contact information
Practice address
36 SW NYE ST, NEWPORT, OR 97365-3821
(541) 265-4179
(541) 265-4194
Mailing address
4466 NE DEVILS LAKE BLVD, LINCOLN CITY, OR 97367-5197
(541) 994-1741
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
OR
Other
Enumeration date
12/01/2006
Last updated
09/11/2025
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