Haylie Clark, BSN, RN-BC
Registered Nurse in Portland, OR. Individual provider (NPI-1).
NPI number1073009031
StatusActive
Last updated in NPPESJul 30, 2026
Details
- NPI
- 1073009031
- Entity type
- Individual (NPI-1)
- Name
- Haylie Clark
- Credential
- BSN, RN-BC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 2, 2018
- Certification date
- Jul 30, 2026
- Last updated
- Jul 30, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 201804644RN | OR | Yes |
Practice location
3710 Sw Us Veterans Hospital RdPortland, OR 97239-2964
Phone 503-220-8262
Mailing address
3443 Se Brookwood AveHillsboro, OR 97129-9499
Phone 503-440-9278
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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