SUSAN M CLACK MD
Individual Provider (NPI-1)
Active
Family Medicine
Provider Information
- NPI Number
1669424917- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 13200 SW PACIFIC HWY, TIGARD, OR, 972234828
- Phone
- (503) 598-2000
- Fax
- (503) 639-0920
Specialties & Taxonomies
Family Medicine
Primary License: OR #MD14435