Individual
NATALIE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1715 E 12TH ST, THE DALLES, OR 97058-3136
(541) 296-2294
Mailing address
1715 E 12TH ST, THE DALLES, OR 97058-3136
(541) 296-2294
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA227951
OR
363AS0400X
Surgical Physician Assistant
Primary
—
OR
Other
Enumeration date
12/30/2025
Last updated
03/03/2026
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