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

Susan M Clack, MD

Individual provider Family Medicine Physician · NPI 1669424917

Susan M Clack, MD is a Family Medicine Physician in Tigard, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006
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 Address checks out

13200 SW Pacific Hwy
Tigard, OR 97223-4828
Phone: (503) 598-2000
Fax: (503) 639-0920
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD14435 (OR)

Record details

NPI number1669424917
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 16, 2006
Last updated in NPPESJuly 23, 2026
Certification dateJuly 23, 2026
Mailing addressPo Box 1517, Pendleton, OR 97801-0410

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