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Active NPI 1841908894 Individual Practitioner Female Practitioner

Samantha Leigh Clark , C-PNP

Nurse Practitioner - Pediatrics • Keizer, OR

Professional Overview & Biography Verified Profile Summary

Samantha Clark, C-PNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Keizer, OR. Practice services are available at 4904 RIVER RD N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4904 River Rd N

Keizer, OR 973034540

Telephone 5033902434
Associated Practice Facility / Clinic
🏢 Little Critters Pediatrics Llc Facility NPI 1932082872

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Keizer, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
1 Specialists

Practicing in Keizer, OR (225 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-07-22
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License OR 10047719

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1598027286

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location July 22, 2025

Registered at 4904 RIVER RD N, KEIZER, OR 973034540 (Tel: 5033902434)

📍
Updated Business Mailing Address July 22, 2025

Registered at 4904 RIVER RD N, KEIZER, OR 973034540 (Tel: 5033902434)

👤
Provider Name / Credentials Updated July 22, 2025

Recorded as SAMANTHA CLARK, C-PNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2025

Nurse Practitioner (License #10047719 in OR)

✅
NPI Profile Active November 08, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location November 08, 2022

Registered at 3455 SW US VETERANS HOSPITAL RD, PORTLAND, OR 972393076 (Tel: 5034947725)

📍
Updated Business Mailing Address November 08, 2022

Registered at 3455 SW US VETERANS HOSPITAL RD, PORTLAND, OR 972393076 (Tel: 5034947725)

👤
Provider Name / Credentials Updated November 08, 2022

Recorded as SAMANTHA CLARK, DNP STUDENT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 08, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration November 08, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1841908894
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 08, 2022
Last Update: July 22, 2025
Sole Proprietor: No
Update or Correct Profile

Mailing Address

4904 River Rd N

Keizer, OR 973034540

Phone: 5033902434

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.