Dr. Terrell L Clarke , MD
Specialist • Coos Bay, OR
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Terrell Clarke has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Terrell Clarke, MD was a registered Specialist practicing in Coos Bay, OR. Throughout an active medical career spanning 15 years, Dr. Clarke provided care at the practice location at 1750 THOMPSON RD until profile deactivation on 2021-09-27.
Practice Location & Contact Primary Location
1750 Thompson Rd
Coos Bay, OR 974202100
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Coos Bay, OR
Practicing in Coos Bay, OR (1153 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Internal Medicine
Doctor of Medicine (M.D.)
Obstetrics & Gynecology
Doctor of Medicine (M.D.)
Specialist
Doctor of Medicine (M.D.)
Counselor - Mental Health
Licensed Professional Counselor
Pediatrics
Doctor of Medicine (M.D.)
Specialist
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on September 27, 2021
NPI status registered as active in NPPES database
Registered at 1750 THOMPSON RD, COOS BAY, OR 974202100 (Tel: 5412690333)
Registered at 1750 THOMPSON RD, COOS BAY, OR 974202100 (Tel: 5412690333)
Recorded as TERRELL CLARKE, M.D.
Specialist (License #MD09244 in OR)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1750 Thompson Rd
Coos Bay, OR 974202100
Phone: 5412690333
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