Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104476225 Individual Practitioner Male Practitioner

Dr. Roger Kevin Clark , PharmD

Pharmacist • Portland, OR

Professional Overview & Biography Verified Profile Summary

Dr. Roger Clark, PharmD is a registered healthcare professional specializing in Pharmacist in Portland, OR. Practice services are available at 3181 SW SAM JACKSON PARK RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3181 Sw Sam Jackson Park Rd

Portland, OR 972393011

Telephone 5034183308
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Portland, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
942 Specialists

Practicing in Portland, OR (3654 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

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License OR 0011422

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Elizabeth Levins , PharmD

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1831742113

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 19, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location September 19, 2019

Registered at 3181 SW SAM JACKSON PARK RD, PORTLAND, OR 972393011 (Tel: 5034183308)

📍
Updated Business Mailing Address September 19, 2019

Registered at 31192 SW WILLAMETTE WAY W, WILSONVILLE, OR 970708581 (Tel: 5035703436)

👤
Provider Name / Credentials Updated September 19, 2019

Recorded as ROGER CLARK, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 19, 2019

Pharmacist (License #0011422 in OR)

🟢
Initial NPI Registration & Enumeration September 19, 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: 1104476225
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 19, 2019
Last Update: September 19, 2019
Sole Proprietor: No

Mailing Address

31192 Sw Willamette Way W

Wilsonville, OR 970708581

Phone: 5035703436

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.