IndividualActive
Erin Clark
NPI 1770177941 · Pediatric Nurse Practitioner · Grants Pass, OR
Provider details
- NPI number
- 1770177941
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 202101839NP-PP (OR)
Mailing address
275 Westwood Dr
Grants Pass, OR 97527-7231
Registry dates
- Enumerated
- 2021-02-26
- Last updated
- 2021-02-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.