LARAINE CLARK (NPI# 1154717882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154717882 |
| Entity Type | Individual |
| Full Name | LARAINE CLARK |
| Credential | RN, IBCLC |
| Practice Address |
31460 Sw Isle Way Ln West Linn OR 97068-9408 |
| Practice Telephone | 5034546917 |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2015-04-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
000042163RN | OR | Nursing Service Providers |
| Street Address |
31460 SW ISLE WAY LN |
| City | WEST LINN |
| State | OR |
| Zip Code | 97068-9408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023678224 | Bethany Joy Bivin | Registered Nurse | 2020 8th Ave Ste 230, West Linn, OR 97068 | 2019-06-19 |
| 1932612777 | Portland Dental Works, LLC | Dentist | 1750 Mckillican, West Linn, OR 97068 | 2017-11-15 |
| 1316460702 | Cameron Johnson Dc LLC | Chiropractor | 21400 Salamo Rd, West Linn, OR 97068 | 2017-07-18 |
| 1376913301 | Genesis Medical Concepts, LLC | Durable Medical Equipment & Medical Supplies | 2020 8th Ave Ste 222, West Linn, OR 97068 | 2015-10-02 |
| 1780052977 | Amanda Carole Tipton | Chiropractor | 21860 Willamette Drive, West Linn, OR 97068 | 2015-09-04 |
| 1457766859 | Eyedeology, Inc | Optometrist | 5656 Hood St. Ste 107, West Linn, OR 97068 | 2014-06-24 |
| 1740694660 | Ariana Bissinger | Nurse Practitioner | 1148 Rosemont Rd, West Linn, OR 97068 | 2014-06-18 |
| 1154606887 | Heather Marie Ellison | Massage Therapist | 22000 Willamette Dr., #107, West Linn, OR 97068 | 2011-10-13 |
| 1336432616 | Lisa Grage | Dental Hygienist | 3551 Coeur D'alene Dr., West Linn, OR 97068 | 2011-05-19 |
| 1316240583 | David Robert Gleave | Psychologist | 1800 Blankenship Rd Ste 200, West Linn, OR 97068 | 2010-12-10 |
| Find all providers in zip 97068 | ||||
| Taxonomy Code | 163WL0100X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Lactation Consultant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275169484 | Rebecca Joanne West Jaquette | Registered Nurse | 705 Louis St, Eugene, OR 97402-2122 | 2020-03-19 |
| 1891321402 | Sarah Imig | Registered Nurse | 4665 Manzanita St, Eugene, OR 97405-4693 | 2020-03-14 |
| 1952950487 | Kelly Telfer | Registered Nurse | 70120 Mckenzie Canyon Rd, Sisters, OR 97759-9742 | 2019-09-07 |
| 1528624970 | Lisa Gonzales | Registered Nurse | 32050 Sw Willamette Way E, Wilsonville, OR 97070-9596 | 2019-05-11 |
| 1619433224 | Danica Jean Zapata Stiles | Registered Nurse | 1592 Grove St, Eugene, OR 97404-3901 | 2019-02-19 |
| 1568953040 | Doris Ann Onnis | Registered Nurse | 9155 Sw Barnes Rd Ste 730, Portland, OR 97225-6634 | 2018-05-21 |
| 1386183812 | Lullaby Lactation LLC | Registered Nurse | 39643 Nw Murtaugh Rd, North Plains, OR 97133-6143 | 2017-02-16 |
| 1891147294 | Lauren Marie O'duin | Registered Nurse | 106 Sw Woods St Ste A, Portland, OR 97201-4739 | 2016-07-08 |
| 1346698032 | Marilyn Joanne Watkins | Registered Nurse | 5199 Nw Elm Ave, Redmond, OR 97756-8898 | 2016-06-02 |
| 1457717563 | Winn Asay | Registered Nurse | 1442 Ne 71st Ave, Portland, OR 97213-5307 | 2016-01-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.