Individual
AMBER M CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1218 N DIVISION AVE STE 208, SANDPOINT, ID 83864-5054
(208) 263-3091
Mailing address
1218 N DIVISION AVE STE 208, SANDPOINT, ID 83864-5054
(208) 263-3091
(208) 263-3147
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4271941
ID
207Q00000X
Family Medicine Physician
MD162440
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500662211
—
OR
01
—
P01296606
RR MEDICARE - PH&S - OREGON (PMG)
OR
Enumeration date
05/20/2009
Last updated
09/17/2025
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