Individual
NINA KARNI CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
930 SW ABBEY ST STE A, NEWPORT, OR 97365-4820
(541) 265-8816
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20A21244
CA
207Q00000X
Family Medicine Physician
Primary
DO224807
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2020
Last updated
10/09/2025
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