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

Dr. Russell Clark, AUD

Individual provider Audiologist · NPI 1538692249

Dr. Russell Clark, AUD is a Qualified Audiologist in Eagle, Idaho. Qualified in 2011, 15 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
15
Licensed in
ID
In the registry since
2017
What do these letters mean?
AUD — Doctor of Audiology
A hearing specialist who tests hearing and fits hearing aids.

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Practice location Address checks out

3101 E State St Ste 2108
Eagle, ID 83616-6232
Phone: (208) 385-3480
Fax: (208) 385-3481
Show map & directions

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

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X · Licence AUD-1526 (ID)

Record details

NPI number1538692249
Entity typeIndividual (Type 1)
GenderMale
Credentials AUD
Sole proprietorNo
NPI enumeratedApril 10, 2017
Last updated in NPPESMarch 1, 2018
Mailing address3101 E State St Ste 2108, Eagle, ID 83616-6232

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED AUDIOLOGIST
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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