Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr Kim M Clark & Associates LLC

Organization Optometrist · NPI 1013141696

Dr Kim M Clark & Associates LLC is an Optometrist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2009.

Licensed in
OR
In the registry since
2009
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12000 SE 82nd Ave #2012
Portland, OR 97266-7721
Phone: (503) 652-6001
Fax: (503) 652-6012
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2911ATI (OR)

Record details

NPI number1013141696
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kim Clark — Owner · (503) 292-4033
NPI enumeratedMay 11, 2009
Last updated in NPPESMay 11, 2009
Mailing address2318 Nw Edgewood Pl, Portland, OR 97229-7618

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