NPI 1336536036 · live from the CMS NPI Registry
Carolyn Chen Clark, MD
Radiology, Diagnostic Radiology in Kailua, HI. National Provider Identifier 1336536036, active.
NPI record
| NPI | 1336536036 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 640 Ulukahiki St, Kailua, HI 96734 |
| Practice phone | 503-251-6855 |
| Mailing address | Po Box 16961, Portland, OR 97292 |
| Enumerated | April 20, 2015 |
| Last updated | April 12, 2022 |
| Sole proprietor | Yes |
| Other names | Carolyn Chen |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | 21521 (HI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.