MRS. DIANE K CLARK ACNP NPI 1881863488

NPI Information

  • NPI: 1881863488
  • Provider Name: MRS. DIANE K CLARK, ACNP
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9427 SW BARNES RD
    STE 595
    PORTLAND, OR
    ZIP 97225
  • Phone: (503) 216-1150

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NPI Details

MRS. Diane K Clark, ACNP is an acute care nurse practitioner in Portland, OR with 18 years of experience. MRS. Diane K Clark, ACNP NPI is 1881863488. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduation Year:2008

The provider's business location address is:

9427 SW BARNES RD
STE 595
PORTLAND, OR
ZIP 97225-640
Phone: (503) 216-1150

The NPI 1881863488 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Critical care, first 30-74 minutes (HCPCS:99291)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)

The enumeration date for this NPI number is 2/27/2008 and was last updated on 2/19/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2100XNurse PractitionerAcute Care278877-4405UTAHNo
2364SC0200XClinical Nurse SpecialistCritical Care Medicine278877-4405UTAHNo
3363LA2100XNurse PractitionerAcute Care201150003NPOREGONYes
4363L00000XNurse Practitioner201150003NPOREGONNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1500631611MEDICAIDOREGON
2P00957594OTHEROREGONRR MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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