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

Katie Jane Clark

Individual provider Specialist · NPI 1780225474

Katie Jane Clark is a Specialist in Lebanon, Oregon. Works from 2 locations. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

44 Industrial Way Ste D
Lebanon, OR 97355-4364
Phone: (541) 801-4113
Show map & directions

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

Additional practice locations (1)

  • 44 Industrial Way Ste D, Lebanon, OR 97355-4364 — (541) 259-5880

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1780225474
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 3, 2019
Last updated in NPPESOctober 3, 2019
Mailing address1305 Hill St Se, Albany, OR 97322-6711

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