DEDRA CLARK
NPI 1164268348
Massage Therapist in Bend, OR
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
Specialties & Licenses
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.
Secondary Practice Locations 2
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.
BEND, OR 97701
BEND, OR 97701
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 with the weekly NPPES data releases published by CMS.
