Ronald L. Clarke, MD, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD16593 Issued in OR

Legal business name

RONALD L. CLARKE, MD, LLC

Practice address

14279 S Glen Oaks Rd
Oregon City, OR 97045-8008

Phone

(503) 657-7629

NPI assigned

Jul 5, 2016

Organization subpart

Yes

Parent organization

RONALD L. CLARKE, MD, LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kimberlee Schlimgen

Title

Office Manager

Phone

(503) 657-7629

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Ronald L Clarke MD LLC

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467676800000",
    "number": "1487006235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14279 S GLEN OAKS RD",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970458008",
            "telephone_number": "503-657-7629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14279 S GLEN OAKS RD",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970458008",
            "telephone_number": "503-657-7629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD L. CLARKE, MD, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RONALD L. CLARKE, MD, LLC",
        "enumeration_date": "2016-07-05",
        "last_updated": "2016-07-05",
        "status": "A",
        "authorized_official_last_name": "SCHLIMGEN",
        "authorized_official_first_name": "KIMBERLEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "503-657-7629"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD16593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009196",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leon Rohrer-Heyerly, LCSW
• Tara Jeannette Rolstad
• Jasmine Romero- Abarca
• Viangel Romero, LMT
• Ramiro Romo Jr., LCSW
• Lisa Marie Ros, MA
• Rose City Dialysis, LLC
• Madison Roskott
• Willita Ross
• Kailee Loretta Rothi

• Pediatrics Physician in Oregon City, OR
• Providers in Oregon City, OR by specialty
• Pediatrics Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.