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Dedra Clark
NPI 1164268348 · on the registry since 2024 · sole proprietor
Practice
- Address
- 361 Ne Franklin Ave
Bend, OR 97701 - Phone
- (541) 241-8652
- Organisation at this address
- Cascadia Family Dental
Northwest Youth Discovery
Amberena L Fairlee Dmd Llc
Santiam Counseling Center, Inc.
Cascade Counseling And Family ServicesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 16
Additional practice sites
- 1105 Se Centennial St, Bend, OR
- 61239 Tetherow Dr Ste 208, Bend, OR
Registry record
- Primary taxonomy
- Massage Therapist
225700000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon