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

Katelyn Ann Clark, MD

Individual provider Surgery Physician · NPI 1366732729

Katelyn Ann Clark, MD is a General Surgery in Springfield, Oregon. Graduated from Oregon Health Sciences University School of Medicine in 2011, 15 years ago. Practices with Peacehealth Medical Group, a 254-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
15
Trained at
Oregon Health Sciences University School of Medicine
Licensed in
OR
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Partly verified

Some contact details are missing from the federal record.

Peacehealth Surgical Specialties 3355 Riverbend Dr Ste 300
Springfield, OR 97477
Phone: (541) 222-8333
Fax: (541) 222-8320
Show map & directions

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

Additional practice locations (1)

  • 3377 Riverbend Dr Ste 230, Springfield, OR 97477-8806 — (541) 222-2700

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence MD175116 (OR)

Record details

NPI number1366732729
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 19, 2011
Last updated in NPPESFebruary 28, 2024
Certification dateNovember 29, 2022
Mailing addressPeacehealth Surgical Specialties, 3355 Riverbend Dr., Suite 300, Springfield, OR 97477

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Peacehealth Medical Group — 254 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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