Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kylie Clark, MD

Individual provider Pediatrics Physician · NPI 1861788101

Dr. Kylie Clark, MD is a Pediatrics Physician in Portland, Oregon. Licensed in Missouri and Oregon. Registered with an NPI since 2011.

Licensed in
MO, OR
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5050 NE Hoyt St Ste B55
Portland, OR 97213-2991 Not confirmed with CMS for 11 years — call before visiting
Phone: (503) 233-5393
Fax: (503) 659-8984
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence MD168562 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 2011018538 (MO)

Record details

NPI number1861788101
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 24, 2011
Last updated in NPPESDecember 22, 2014

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