Individual
ZACHARY THOMAS CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8311
Mailing address
3180 SW UMATILLA AVE, REDMOND, OR 97756-8950
(541) 420-8360
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OR
Other
Enumeration date
03/23/2026
Last updated
03/23/2026
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