| Dr Clark Edmund Sisk, MD | |
|
3600 N Interstate Ave, Portland, OR 97227-1106 | |
| (503) 331-3033 | |
| (503) 280-2930 |
| Full Name | Dr Clark Edmund Sisk |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Location | 3600 N Interstate Ave, Portland, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154436830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | OR MD12188 (Oregon) | Primary |
| 207N00000X | Dermatology | WA MD00035021 (Washington) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Clark Edmund Sisk, MD 3600 N Interstate Ave, Kaiser, Dermatology, Central Interstate Medical Office, Portland, OR 97227-1106 Ph: (503) 331-3060 | Dr Clark Edmund Sisk, MD 3600 N Interstate Ave, Portland, OR 97227-1106 Ph: (503) 331-3033 |
Dr. Alison Marie Small, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 3303 Sw Bond Ave, Portland, OR 97239 Phone: 503-418-3376 | |
Milie Fang, DO Dermatology Medicare: Not Enrolled in Medicare Practice Location: 3303 S Bond Ave Dept, Portland, OR 97239 Phone: 503-494-1375 | |
Bert G Tavelli, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2525 Nw Lovejoy St Ste 400, Portland, OR 97210 Phone: 503-223-1933 Fax: 503-223-1947 | |
Natasha Fewkes Carter, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4914 Sw 1st Ave, Portland, OR 97239 Phone: 310-701-8274 | |
Dr. Samuel Fritz Bremmer, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-8211 | |
Oluwadamilare Olalekan Ajayi, MD Dermatology Medicare: Medicare Enrolled Practice Location: 3303 S Bond Ave, Portland, OR 97239 Phone: 503-418-3376 Fax: 503-494-6968 | |
Diane Romayne Baker, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 9495 Sw Locust St Ste A&e, Portland, OR 97223 Phone: 503-471-0500 Fax: 503-471-0504 |