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

Dr. Kylie Clark, MD

Individual provider Pediatrics Physician · NPI 1861788101

Dr. Kylie Clark, MD is a Pediatrics Physician in Portland, Oregon. Licensed in Missouri and Oregon. Registered with an NPI since 2011.

Licensed in
MO, OR
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5050 NE Hoyt St Ste B55
Portland, OR 97213-2991
Phone: (503) 233-5393
Fax: (503) 659-8984
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence MD168562 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 2011018538 (MO)

Record details

NPI number1861788101
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 24, 2011
Last updated in NPPESDecember 22, 2014
Mailing address5050 Ne Hoyt St, Suite B55, Portland, OR 97213-2991

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