Individual
ANGELLA CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP
Contact information
Practice address
10690 NE CORNELL RD STE 220, HILLSBORO, OR 97124-9224
(503) 848-5861
Mailing address
7320 SW HUNZIKER RD STE 300, PORTLAND, OR 97223-2302
(503) 941-3033
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP133511
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
369513201
—
TX
05
—
500779925
—
OR
Enumeration date
02/10/2017
Last updated
07/13/2021
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