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

Katie Jane Clark

Individual provider Specialist · NPI 1780225474

Katie Jane Clark is a Specialist in Lebanon, Oregon. Works from 2 locations. Registered with an NPI since 2019.

In the registry since
2019
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Practice location Address checks out

44 Industrial Way Ste D
Lebanon, OR 97355-4364
Phone: (541) 801-4113
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 44 Industrial Way Ste D, Lebanon, OR 97355-4364 — (541) 259-5880

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1780225474
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 3, 2019
Last updated in NPPESOctober 3, 2019

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