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Ellis Clark, MD
NPI 1750318812 · Anesthesiology Physician · Salem, OR
Ellis Clark, MD is a Anesthesiology Physician provider in Salem, OR (NPI 1750318812).
Provider details
- NPI number
- 1750318812
- Entity type
- Individual
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD15586 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
700 Bellevue St Se
Suite 300
Salem, OR 97301-3819
Phone: (503) 364-3704
Street-level locationGet directions
Mailing address
Po Box 4008
Portland, OR 97208-4008
Registry dates
- Enumerated
- 2006-06-26
- Last updated
- 2007-07-08
Frequently asked questions
- What is Ellis Clark's NPI number?
- Ellis Clark's National Provider Identifier (NPI) is 1750318812, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ellis Clark's specialty?
- Ellis Clark is listed in the NPPES registry with a primary specialty of Anesthesiology Physician (Allopathic & Osteopathic Physicians).
- Where is Ellis Clark located?
- Ellis Clark's practice location on file with NPPES is 700 Bellevue St Se, Salem, OR 97301-3819.
- What is Ellis Clark's phone number?
- The practice phone number listed in the NPPES registry for Ellis Clark is (503) 364-3704.
- Is Ellis Clark's NPI active?
- Yes — Ellis Clark's NPI (1750318812) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.