Danica E Clark, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD154535 Issued in OR

Practice address

1011 Commercial St NE Ste 110
Salem, OR 97301-1036

Phone

(503) 983-9900

Fax

(503) 983-9899

NPI assigned

Oct 16, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Internal Medicine

Education

Oregon Health Sciences University School of Medicine, 2005

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: danica.clark.p1@direct.grandronde.nextgenshare.com

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

• Confederated Tribes of the Grand Ronde Community of Oregon

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Grand Ronde, OR
  • NPI 1174666358
  Medicare reassignment NPD
• Coquille Indian Tribe

  • Clinic/Center
  • Coos Bay, OR
  • NPI 1376592287

  TX

  Medicare reassignment NPD
• Confederated Tribes of the Grand Ronde Community of Oregon

  • Land Ambulance
  • Grand Ronde, OR
  • NPI 1215606132
  NPD
• Confederated Tribes of Grand Ronde Community of Oregon Dba GR Health &

  • Community Health Clinic/Center
  • Grand Ronde, OR
  • NPI 1104164359
  NPD (past)

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1972792992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 COMMERCIAL ST NE STE 110",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973011036",
            "telephone_number": "503-983-9900",
            "fax_number": "503-983-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 COMMERCIAL ST NE STE 110",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973011036",
            "telephone_number": "503-983-9900",
            "fax_number": "503-983-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "DANICA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-16",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD154535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500644845",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Clancy, DPT
• Patrick Clancy, CRM
• Katie Clanton, RDH, EPDH
• Ann Elizabeth Clark-Delogu
• Alisha Sue Clark
• Ellis Richard Clark, MD
• Jev Clark
• Jim R Clark
• Lennon Lonnie Clark, CPM
• Zachary E Clark

• Internal Medicine Physician in Salem, OR
• Providers in Salem, OR by specialty
• Internal Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.