Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1780225474 Individual Practitioner Female Practitioner

Katie Jane Clark

Specialist • Lebanon, OR

Professional Overview & Biography Verified Profile Summary

Katie Clark is a registered healthcare professional specializing in Specialist in Lebanon, OR. Practice services are available at 44 INDUSTRIAL WAY STE D under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

44 Industrial Way Ste D

Lebanon, OR 973554364

Telephone 5418014113

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Lebanon, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 35.7 Yrs
Regional Practice Density
5 Specialists

Practicing in Lebanon, OR (1153 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

Specialist Primary Specialty

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.

Secondary Practice Locations

44 Industrial Way Ste D

Lebanon, OR 973554364

Phone: 5412595880

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1649980244

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 03, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location October 03, 2019

Registered at 44 INDUSTRIAL WAY STE D, LEBANON, OR 973554364 (Tel: 5418014113)

📍
Updated Business Mailing Address October 03, 2019

Registered at 1305 HILL ST SE, ALBANY, OR 973226711 (Tel: 5418014113)

👤
Provider Name / Credentials Updated October 03, 2019

Recorded as KATIE CLARK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 03, 2019

Specialist

🟢
Initial NPI Registration & Enumeration October 03, 2019

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: 1780225474
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 03, 2019
Last Update: October 03, 2019
Sole Proprietor: No

Mailing Address

1305 Hill St Se

Albany, OR 973226711

Phone: 5418014113

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.