SHAWNA REBECCA CLARK
NPI 1174191282
Registered Nurse in North Bend, OR

Q: What is Shawna Clark's NPI number?

The NPI number for Shawna Clark is 1174191282. It was assigned to this individual provider in the NPPES registry on June 15, 2021.

Q: What is Shawna Clark's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Q: When was this NPI record last updated?

The NPPES record for Shawna Clark was last updated on June 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since June 15, 2021

400 VIRGINIA AVE STE 201, NORTH BEND, OR 97459(541) 751-0357(541) 751-9985 Get Directions Write a Review

NPPES record last updated: June 15, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Shawna Rebecca Clark NPPES

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

SHAWNA REBECCA CLARK (NPI 1174191282) is an individual registered nurse in North Bend, Oregon, licensed in California (200742753RN) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1174191282

Entity TypeIndividualFemale

Primary Taxonomy163W00000X

Provider Legal NameSHAWNA REBECCA CLARK

Location Address400 VIRGINIA AVE STE 201North Bend, OR 97459-3444

Mailing AddressPo Box 1121Roseburg, OR 97470-0254 · (541) 672-2691

Phone(541) 751-0357

Fax(541) 751-9985

Sole ProprietorNo

Enumeration DateJune 15, 2021

NPPES CertifiedJune 15, 2021

✔ NPI 1174191282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in CA · 200742753RN

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

400 VIRGINIA AVE STE 201, North Bend, OR 97459

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Other Providers at the Same Location NPPES 20

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

GILBERT JASON ALMEIDA

Peer Specialist