Individual
ANNEMIEKE CLARK EMCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1500 NW BETHANY BLVD STE 200, BEAVERTON, OR 97006-5236
(503) 741-2735
(503) 308-7222
Mailing address
1500 NW BETHANY BLVD STE 200, BEAVERTON, OR 97006-5236
(503) 741-2735
(503) 308-7222
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201805147NP-PP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP60866557
WA
Other
Enumeration date
03/23/2018
Last updated
11/26/2025
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