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JULIE KOLSTAD CLARK
NPI 1609589837
Denturist in Roseburg, OR

Active since January 03, 2023
150 NE KENNETH FORD DR, ROSEBURG, OR 97470(541) 672-9596 Get Directions Write a Review

NPPES record last updated: January 3, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Julie Kolstad Clark NPPES

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

JULIE KOLSTAD CLARK (NPI 1609589837) is an individual denturist in Roseburg, Oregon, licensed in Oregon (DT-TMP-10228509) and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1609589837
Entity TypeIndividualFemale
Primary Taxonomy122400000X
Provider Legal NameJULIE KOLSTAD CLARK
Location Address150 NE KENNETH FORD DRRoseburg, OR 97470-1042
Mailing Address847 Se Blakeley AveRoseburg, OR 97470-4828 · (541) 817-2181
Phone(541) 672-9596
Sole ProprietorYes
Enumeration DateJanuary 3, 2023
NPPES CertifiedJanuary 3, 2023
✔ NPI 1609589837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDenturistDental Providers
Taxonomy Code122400000X
License✔ Licensed in OR · DT-TMP-10228509
Definition
A denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices.
150 NE KENNETH FORD DR, Roseburg, OR 97470
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

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.

MISHA MARIE PEEL DO
Family Medicine
150 NE KENNETH FORD DR
ROSEBURG, OR 97470
Douglas County (541) 672-9596
DR. JUSTIN L JONES DDS
Dentist (Dental Public Health)
150 NE KENNETH FORD DR
ROSEBURG, OR 97470
Douglas County (541) 672-9596
DR. JOHN TRAVIS MELLING MD
Family Medicine
150 NE KENNETH FORD DR
ROSEBURG, OR 97470
Douglas County (541) 672-9596
ARIELLE FAITH BURNETT DMD
Dentist
150 NE KENNETH FORD DR
ROSEBURG, OR 97470
Douglas County (541) 672-9596
UMPQUA COMMUNITY HEALTH CENTER, INC.
Pharmacy (Community/Retail Pharmacy)
150 NE KENNETH FORD DR
ROSEBURG, OR 97470
Douglas County (541) 672-9596
JORDAN ENDRES DDS
Dentist (General Practice)
150 NE KENNETH FORD DR
ROSEBURG, OR 97470
Douglas County (541) 672-9596
MIRRANDA RENEE MANDERA CHW
Community Health Worker
150 NE KENNETH FORD DR
ROSEBURG, OR 97470
Douglas County (541) 672-9596
DR. OBIAGERI EGEOLU MD
Family Medicine
150 NE KENNETH FORD DR
ROSEBURG, OR 97470
Douglas County (541) 672-9596

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 Julie Clark's NPI number?

The NPI number for Julie Clark is 1609589837. It was assigned to this individual provider in the NPPES registry on January 3, 2023.

Where is Julie Clark located?

Julie Clark practices at 150 NE Kenneth Ford Dr, Roseburg, OR 97470. The listed phone number is (541) 672-9596.

What is Julie Clark's specialty?

The primary specialty registered for this NPI is Denturist with taxonomy code 122400000X.

What insurance does Julie Clark accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Julie Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Julie Clark was last updated on January 3, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.