Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEDRA CLARK
Active Sole ProprietorDEDRA CLARK is a Massage Therapist healthcare provider located in BEND, Oregon. NPI 1164268348 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · BEND, OR
Registration Details
- NPI Number
- 1164268348
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 8, 2024 (2.0934054450414 yrs)
- Last Updated
- Jul 8, 2024
- License
-
27730 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
361 NE FRANKLIN AVEBEND, OR, 977014917Browse OR providers · Browse ZIP 97701
- Phone
- 5412418652
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in BEND, OR
| Name | Credential | NPI |
|---|---|---|
| BRANDON WEINREB | LMT LAC | 1821038894 |
| MR. JAMES EARL PARKER | LMT | 1669483871 |
| NICOLE RENE JURGENSEN | LMT | 1598838161 |
| MRS. DAWN UNZE | LMT | 1265573497 |
| SUNNIE PHILLIPS | LMT | 1346381290 |
| MRS. ALLISON CYNTHIA JORGENSEN | LMT | 1104955442 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.