Dr SUSAN M CLACK MD is a female medical professional, specializing in Family Medicine. She graduated in 1984 from Oregon Health Sciences University School Of Medicine.
PRAXIS MEDICAL GROUP INC
4510 SW HALL BLVD
BEAVERTON
OR
970050504
Tel: 5036441171
| Npi | 1669424917 |
| Pac Id | 2163480070 |
| Professional Enrollment Id | I20041223000197 |
| Last Name | CLACK |
| First Name | SUSAN |
| Middle Name | M |
| Suffix | |
| Gender | F |
| Credential | MD |
| Medical School Name | OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | PRAXIS MEDICAL GROUP INC |
| Group Practice Pac Id | 8325941446 |
| Number Of Group Practice Members | 133 |
| Line 1 Street Address | 4510 SW HALL BLVD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | BEAVERTON |
| State | OR |
| Zip Code | 970050504 |
| Phone Number | 5036441171 |
| Hospital Affiliation Ccn 1 | 380089 |
| Hospital Affiliation Lbn 1 | LEGACY MERIDIAN PARK MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 380037 |
| Hospital Affiliation Lbn 2 | PROVIDENCE NEWBERG MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
Leave your comments, questions and feedback on this listing below. You can also correct any listing errors or omissions.