CARLY RENE' CLARK RDH, EP
NPI 1760827356
Advanced Practice Dental Therapist in Portland, OR
About Carly Rene' Clark Rdh, Ep NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARLY RENE' CLARK RDH, EP (NPI 1760827356) is an individual advanced practice dental therapist in Portland, Oregon, licensed in Oregon (H5380) and active in the NPI registry since May 2013.
NPPES Registry Identity
Specialties & Licenses
(1) A dental therapist who has completed additional training beyond basic dental therapy education and provides dental services in accordance with state advanced practice dental therapist laws or statutes; or
(2) A dental hygienist with a graduate degree in advanced dental therapy prepared for independent and interdependent decision making and direct accountability for clinical judgment across the dental health care continuum.
The individual has been authorized by the relevant state board or a tribal entity to provide services under the remote supervision of a dentist. The functions of the advanced practice dental therapist vary based on the needs of the dentist, the educational preparation of the advanced practice dental therapist and state dental practice acts and regulations.
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 Carly Clark's NPI number?
The NPI number for Carly Clark is 1760827356. It was assigned to this individual provider in the NPPES registry on May 8, 2013.
Where is Carly Clark located?
Carly Clark practices at 3324 N Arlington Pl, Portland, OR 97217. The listed phone number is (503) 887-5923.
What is Carly Clark's specialty?
The primary specialty registered for this NPI is Advanced Practice Dental Therapist with taxonomy code 125K00000X.
When was this NPI record last updated?
The NPPES record for Carly Clark was last updated on May 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
