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DEDRA CLARK
NPI 1164268348
Massage Therapist in Bend, OR

Active since July 08, 2024
361 NE FRANKLIN AVE, BEND, OR 97701(541) 241-8652 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dedra Clark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEDRA CLARK (NPI 1164268348) is an individual massage therapist in Bend, Oregon, licensed in Oregon (27730) and active in the NPI registry since July 2024. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1164268348
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameDEDRA CLARK
Location Address361 NE FRANKLIN AVEBend, OR 97701-4917
Mailing Address900 Ne Warner Pl Apt 131Bend, OR 97701-4684 · (541) 848-3181
Phone(541) 241-8652
Sole ProprietorYes
Enumeration DateJuly 8, 2024
NPPES CertifiedJuly 1, 2024
✔ NPI 1164268348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in OR · 27730
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
361 NE FRANKLIN AVE, Bend, OR 97701
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Secondary Practice Locations 2

Location 11105 SE Centennial StBend, OR 97702-1343 · Phone (541) 848-3181
Location 261239 Tetherow Dr Ste 208Bend, OR 97702-3734 · Phone (541) 393-9648

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL BECKER PHD, LPC
Counselor (Mental Health)
361 NE FRANKLIN AVE, BLDG E STE 11
BEND, OR 97701
Deschutes County (541) 633-0997
CASCADE COUNSELING AND FAMILY SERVICES
Community/Behavioral Health
361 NE FRANKLIN AVE, BLDG E SUITE 7
BEND, OR 97701
Deschutes County (541) 410-6415
DR. DENNIS R FEE OD
Optometrist
361 NE FRANKLIN AVE, BUILDING C
BEND, OR 97701
Deschutes County (541) 382-0103
STEVEN TIMM D.M.D
Dentist
361 NE FRANKLIN AVE
BEND, OR 97701
Deschutes County (541) 382-5678
SANTIAM COUNSELING CENTER, INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
361 NE FRANKLIN AVE, BLD E, STE 11
BEND, OR 97701
Deschutes County (541) 633-0997

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dedra Clark's NPI number?

The NPI number for Dedra Clark is 1164268348. It was assigned to this individual provider in the NPPES registry on July 8, 2024.

Where is Dedra Clark located?

Dedra Clark practices at 361 NE Franklin Ave, Bend, OR 97701. The listed phone number is (541) 241-8652.

What is Dedra Clark's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Dedra Clark was last updated on July 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.