Jennifer Justina Clark, FNP-BC is a family nurse practitioner in Portland, OR. Jennifer Justina Clark, FNP-BC NPI is 1417596016. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR
ZIP 97239-964
Phone: (503) 220-8262
The NPI 1417596016 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 12/30/2019 and was last updated on 12/30/2019.