IndividualActive
Brian Clark, MD, PHD
NPI 1275977571 · Diagnostic Radiology Physician · Portland, OR
Provider details
- NPI number
- 1275977571
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD, PHD
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD178701 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
9205 Sw Barnes Rd
Portland, OR 97225-6603
Phone: (503) 797-6356
Approximate (ZIP-level) locationGet directions
Mailing address
9205 Sw Barnes Rd
Portland, OR 97225-6603
Registry dates
- Enumerated
- 2013-04-17
- Last updated
- 2019-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.