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NPI 1710349592 · live from the CMS NPI Registry

Joshua Clark, M.D.

Dermatology in Springfield, OR. National Provider Identifier 1710349592, active.

NPI record

NPI1710349592 Type 1 · individual
StatusActive
Primary specialtyDermatology 207N00000X
Practice location1605 G St, Springfield, OR 97477
Practice phone541-747-6159
EnumeratedMarch 22, 2016
Last updatedJune 2, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Dermatology primary207N00000XMD197684 (OR)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.