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

Samantha Leigh Clark, C-PNP

Individual provider Pediatric Nurse Practitioner · NPI 1841908894

Samantha Leigh Clark, C-PNP is a Pediatric Nurse Practitioner in Keizer, Oregon. Licensed in Oregon. Registered with an NPI since 2022.

Licensed in
OR
In the registry since
2022

Practice location Address checks out

4904 River Rd N
Keizer, OR 97303-4540
Phone: (503) 390-2434
Show map & directions

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

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 10047719 (OR)

Record details

NPI number1841908894
Entity typeIndividual (Type 1)
GenderFemale
Credentials C-PNP
Sole proprietorNo
NPI enumeratedNovember 8, 2022
Last updated in NPPESJuly 22, 2025
Certification dateJuly 22, 2025