Individual provider · Type 1 NPI
Dedra Clark
Massage Therapist · Bend, OR
NPI number
1164268348
Active
Practice location
361 NE Franklin Ave
Bend, OR 97701-4917
Mailing address
900 NE Warner Pl Apt 131
Bend, OR 97701-4684
Other practice locations
- 61239 Tetherow Dr Ste 208, Bend, OR 97702-3734 · (541) 393-9648
- 1105 SE Centennial St, Bend, OR 97702-1343 · (541) 848-3181
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 27730 (OR) |
Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
5 other providers at this address
- Cascade Counseling and Family ServicesCommunity/Behavioral Health Agency Bend, OR NPI 1275083818
- Santiam Counseling Center, Inc.Mental Health Clinic/Center (Including Community Mental Health Center) Bend, OR NPI 1699317362
- Dennis R. Fee, ODOptometrist Bend, OR NPI 1457435729
- Michael Becker, PhD, LPCMental Health Counselor Bend, OR NPI 1043627383
- Steven Timm, D.M.DDentist Bend, OR NPI 1629112842
Other massage therapist providers in Bend
- Stephanie MolinaMassage Therapist Bend, OR NPI 1003322173
- Maggie C. Lewis, LMTMassage Therapist Bend, OR NPI 1003522442
- Rebecca Lafond, LMTMassage Therapist Bend, OR NPI 1003625583
- Meagan Lynn NovakMassage Therapist Bend, OR NPI 1013509298
- Jeremiah McGregorMassage Therapist Bend, OR NPI 1013814862
- Jennifer HuffmanMassage Therapist Bend, OR NPI 1023547239
- Jerricha Dawn Draper, LMTMassage Therapist Bend, OR NPI 1023630027
- Nicole Guerra Willingham, LMTMassage Therapist Bend, OR NPI 1043047095
About NPI 1164268348
Dedra Clark's National Provider Identifier is 1164268348, issued on Jul 8, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bend, OR. The record was last updated on Jul 8, 2024.