Clarke, Nicholas Edward

Clarke, Nicholas Edward is an sole proprietor health care provider with primary practice located at 364 Se 8Th Ave Ste 301 , Hillsboro OR 97123-4250. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Clarke, Nicholas Edward can be contacted via phone (503) 681-4233.

Contact Information

Primary practice address
364 Se 8Th Ave Ste 301 Hillsboro OR 97123-4250
Fax: (503) 681-4234
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X MD24800 Oregon

Profile Details

NPI number 1124112016
LBN Legal business name Clarke, Nicholas Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2006
Last updated May 13th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124112016 NPPES
Other P00191867 RAILROAD MEDICARE
MEDICAID 232821 RAILROAD MEDICARE

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