Nurse Practitioner, Family
MACEY CLARK PNP-C, AGNP-C
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1417483553 · enumerated 2017-05-10 · record updated 2025-05-29. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 710 SUNSET DR, SUITE E, LA GRANDE, OR, 97850-1200 (541) 962-5600 Google Maps Apple Maps OpenStreetMap
- Mailing address PO BOX 3290, LA GRANDE, OR, 97850-7290 (541) 963-1967 Fax (541) 963-1837 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Gerontology 363LG0600X · License 201704371NP-PP OR
- Nurse Practitioner, Family 363LF0000X · Primary · License 201704371NP-PP OR
In this directory
Locations and evidence
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Practice location
LA GRANDE, OR, 978501200
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.