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

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: July 19, 2026.

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
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

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.

Counselor (Addiction (Substance Use Disorder))
400 VIRGINIA AVE STE 201
NORTH BEND, OR 97459
Counselor (Addiction (Substance Use Disorder))
400 VIRGINIA AVE STE 201
NORTH BEND, OR 97459
Counselor (Addiction (Substance Use Disorder))
400 VIRGINIA AVE STE 201
NORTH BEND, OR 97459
Counselor (Addiction (Substance Use Disorder))
400 VIRGINIA AVE STE 201
NORTH BEND, OR 97459
Counselor (Addiction (Substance Use Disorder))
400 VIRGINIA AVE STE 201
NORTH BEND, OR 97459
Counselor (Addiction (Substance Use Disorder))
400 VIRGINIA AVE STE 201
NORTH BEND, OR 97459
Counselor (Addiction (Substance Use Disorder))
400 VIRGINIA AVE STE 201
NORTH BEND, OR 97459
Counselor (Addiction (Substance Use Disorder))
400 VIRGINIA AVE STE 201
NORTH BEND, OR 97459

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174191282, enumerated as an "individual" on June 15, 2021.

The provider is located at 400 VIRGINIA AVE STE 201 NORTH BEND, OR 97459 and the phone number is (541) 751-0357.

Registered Nurse with taxonomy code 163W00000X.