Individual provider · Type 1 NPI

Rachel M. Clark

Denturist · Grand Ronde, OR

NPI number 1194679449 Active

Practice location

9605 Grand Ronde Rd
Grand Ronde, OR 97347-9712

Fax (503) 879-2071

Specialties and licenses

TaxonomyCodeLicense
Denturist Primary 122400000XDT-DO-10152487 (OR)

Denturist: 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.

58 other providers at this address

About NPI 1194679449

Rachel M. Clark's National Provider Identifier is 1194679449, issued on Feb 24, 2026. The primary taxonomy on file is Denturist (122400000X), and the practice location is in Grand Ronde, OR. The record was last updated on Feb 24, 2026.