ANDRIA CLARK RDN LLC
NPI 1417806902
Dietitian, Registered in Bend, OR

Active since January 27, 2026
1900 NE 3RD ST STE 106, BEND, OR 97701(206) 619-1553 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andria Clark Rdn Llc NPPES

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

ANDRIA CLARK RDN LLC (NPI 1417806902) is a healthcare organization registered as a dietitian, registered in Bend, Oregon and active in the NPI registry since January 2026. The organization lists Andria M Clark, Registered Dietitian, Owner, as its authorized official.

NPPES Registry Identity

NPI1417806902
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameANDRIA CLARK RDN LLC
Location Address1900 NE 3RD ST STE 106Bend, OR 97701-3889
Mailing Address1900 Ne 3rd St Ste 106Bend, OR 97701-3889 · (206) 619-1553
Organization SubpartNo
Authorized OfficialAndria M ClarkRegistered Dietitian, Owner · (206) 619-1553
Enumeration DateJanuary 27, 2026
NPPES CertifiedJanuary 21, 2026
NPI 1417806902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
1900 NE 3RD ST STE 106, Bend, OR 97701

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Counselor (Professional)
1900 NE 3RD ST STE 106
BEND, OR 97701
Counselor (Professional)
1900 NE 3RD ST STE 106
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 Andria Clark Rdn LLC's NPI number?

The NPI number for Andria Clark Rdn LLC is 1417806902. It was assigned to this organization in the NPPES registry on January 27, 2026.

Where is Andria Clark Rdn LLC located?

Andria Clark Rdn LLC is located at 1900 NE 3rd St Ste 106, Bend, OR 97701. The listed phone number is (206) 619-1553.

What is Andria Clark Rdn LLC's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

When was this NPI record last updated?

The NPPES record for Andria Clark Rdn LLC was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.