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

Macey Clark, PNP-C, AGNP-C

Individual provider Gerontology Nurse Practitioner · NPI 1417483553

Macey Clark, PNP-C, AGNP-C is a Gerontology Nurse Practitioner in LA Grande, Oregon. Works from 2 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2017
Specialties on file
2

Practice location Address checks out

710 Sunset Dr Ste E
LA Grande, OR 97850-1200
Phone: (541) 962-5600
Show map & directions

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

Additional practice locations (1)

  • 142 E Dearborn St, Union, OR 97883-9174 — (541) 562-6180

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 201704371NP-PP (OR)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 201704371NP-PP (OR)

Record details

NPI number1417483553
Entity typeIndividual (Type 1)
GenderFemale
Credentials PNP-C , AGNP-C
Sole proprietorNo
NPI enumeratedMay 10, 2017
Last updated in NPPESMay 29, 2025
Certification dateMay 29, 2025

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