Jensen D Clarke, MSN, APRN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

201908821NP-PP Issued in OR

Practice address

2620 SE 122ND Ave
Portland, OR 97236-3103

Phone

(971) 430-4730

NPI assigned

Oct 3, 2019

Last updated

Jun 15, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jensen.clarke.1@21025.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Oregon Trail Recovery LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Milwaukie, OR
  • NPI 1881010502
  NPD (past)
• Pacific Crest Trail Detox LLC

  • Substance Abuse Rehabilitation Facility
  • Milwaukie, OR
  • NPI 1043760838
  NPD (past)
• Pregnancy Care Centers Inc

  • Obstetrics & Gynecology Physician
  • Canby, OR
  • NPI 1811539448

  Family

  NPD (past)

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1528609237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 SE 122ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972363103",
            "telephone_number": "971-430-4730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 SE 122ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972363103",
            "telephone_number": "971-430-4730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "JENSEN",
        "middle_name": "D",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-03",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201908821NP-PP",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "201901581RN",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Thomas Clark, MD
• Kris Clarke Wieland, LCSW
• Amorelle Clarke
• Erin Clarke, LMT
• Ian Clarke
• Jessica Clarke, MD
• Jo Aine Clarke
• John Atwood Clarke
• Kimberly Clarke
• Laura Clarke

• Family Nurse Practitioner in Portland, OR
• Providers in Portland, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.