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

Lisa Diane Clark, FNP

Individual provider Family Nurse Practitioner · NPI 1942276282

Lisa Diane Clark, FNP is a Nurse Practitioner in Portland, Oregon. Qualified in 2004, 22 years ago. Practices with Northwest Cancer Specialists PC, a 69-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
22
Licensed in
OR
In the registry since
2006
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

265 N Broadway St
Portland, OR 97227-1800
Phone: (503) 274-4885
Fax: (503) 274-4814
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 200550098 (OR)

Record details

NPI number1942276282
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedFebruary 27, 2006
Last updated in NPPESDecember 22, 2011

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Northwest Cancer Specialists Pc — 69 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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