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

Dr. Russell Clark, AUD

Individual provider Audiologist · NPI 1538692249

Dr. Russell Clark, AUD is a Qualified Audiologist in Eagle, Idaho. Qualified in 2011, 15 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
15
Licensed in
ID
In the registry since
2017
What do these letters mean?
AUD — Doctor of Audiology
A hearing specialist who tests hearing and fits hearing aids.

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Practice location Address checks out

3101 E State St Ste 2108
Eagle, ID 83616-6232
Phone: (208) 385-3480
Fax: (208) 385-3481
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X · Licence AUD-1526 (ID)

Record details

NPI number1538692249
Entity typeIndividual (Type 1)
GenderMale
Credentials AUD
Sole proprietorNo
NPI enumeratedApril 10, 2017
Last updated in NPPESMarch 1, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED AUDIOLOGIST
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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