MARY CLARK (NPI# 1285043372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285043372 |
| Entity Type | Individual |
| Full Name | MARY CLARK |
| Practice Address |
8495 Crater Lake Hwy White City OR 97503-3011 |
| Practice Telephone | 5418262111 |
| Practice Fax Number | 5418307481 |
| Mailing Telephone | 5418262111 |
| Mailing Fax Number | 5418307481 |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2014-08-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 200540995RN | OR | Nursing Service Providers |
| N | 163WC0400X |
Registered Nurse Specialization: Case Management |
200540995RN | OR | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255958252 | Mary Beth Clark | Speech-Language Pathologist | 18 La Salle Ave, Sioux City, IA 51104-2412 | 2020-06-25 |
| 1205461266 | Mary Clark | Nurse's Aide | 229 Elmhurst Rd, Dayton, OH 45417-1420 | 2020-03-10 |
| 1366981839 | Mary Clark | Acupuncturist | 8380 Six Forks Rd Ste 203, Raleigh, NC 27615-5091 | 2017-02-16 |
| 1740698935 | Mary Christine Clark | Lactation Consultant, Non-RN | 2774 230th St, Cushing, WI 54006-3421 | 2014-07-31 |
| 1982022562 | Mary Clark | Non-emergency Medical Transport (VAN) | 2957 Brogdon Rd, Alcolu, SC 29001-8637 | 2014-04-01 |
| 1760825392 | Mary Elizabeth Clark | Doula | 8634 Oakside Ave, Commerce Township, MI 48382-3763 | 2013-04-13 |
| 1336497460 | Mary Clark | Chiropractor | 298 Federal Hill Rd, Milford, NH 03055-3553 | 2012-08-21 |
| 1730460098 | Mary Jo Clark | Specialist | 2691 Highway 62 412, Highland, AR 72542-9479 | 2011-08-31 |
| 1649559410 | Mary Jackson Clark | Counselor | 904 Washington Rd Ste A, Westminster, MD 21157-5838 | 2011-08-11 |
| 1952691461 | Mary Denise Clark | Doula | 1070 Milo Cir Apt B, Lafayette, CO 80026-3089 | 2011-04-18 |
| Street Address |
8495 CRATER LAKE HWY |
| City | WHITE CITY |
| State | OR |
| Zip Code | 97503-3011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578568226 | David T. Quinn | Dentist | 8495 Crater Lake Hwy, Dental (160), White City, OR 97503-3011 | 2005-06-19 |
| 1003428244 | Adrian Anthony Garibay | Registered Nurse | 8495 Crater Lake Hwy, White City, OR 97503-3011 | 2020-08-19 |
| 1083237341 | Shawna Stucke | Social Worker | 8495 Crater Lake Hwy, White City, OR 97503-3011 | 2020-05-21 |
| 1073133872 | Danielle Knight | Dietitian, Registered | 8495 Crater Lake Hwy, White City, OR 97503-3011 | 2020-04-21 |
| 1144864448 | Michael E Greer II | Social Worker | 8495 Crater Lake Hwy, White City, OR 97503-3011 | 2019-10-30 |
| 1023666526 | Kiana M Saqr | Optometrist | 8495 Crater Lake Hwy, White City, OR 97503-3011 | 2019-08-28 |
| 1356901896 | Christina C Lowe | Dietitian, Registered | 8495 Crater Lake Hwy, White City, OR 97503-3011 | 2019-06-17 |
| 1336602572 | Cederick Jason Victor | Social Worker | 8495 Crater Lake Hwy, White City, OR 97503-3011 | 2019-04-12 |
| 1083174544 | Wanda Poteet | Nurse Practitioner | 8495 Crater Lake Hwy, White City, OR 97503-3011 | 2019-03-21 |
| 1467910836 | Latasha Miller | Psychologist | 8495 Crater Lake Hwy, White City, OR 97503-3011 | 2019-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952891053 | Miranda Wheeler | Counselor | 7524 Crater Lake Hwy, White City, OR 97503 | 2018-05-14 |
| 1932634599 | Annette Foster | Social Worker | 3905 Ave E, White City, OR 97503 | 2017-04-20 |
| 1881147791 | Christian Zal-herwitz | Psychologist | Va Southern Oregon Rehabilitation Center & Clinics, 8495 Crater Lake Hwy, White City, OR 97503 | 2016-07-27 |
| 1356627509 | Elise York | Massage Therapist | 8010 Brie Terrace, White City, OR 97503 | 2011-11-01 |
| 1679857551 | Emily E. Aldridge | Registered Nurse | Va Sorcc, 8495 Crater Lake Hwy, White City, OR 97503 | 2011-10-10 |
| 1538486519 | Matthew Ronald Becker | Physical Therapist | 8795 Crater Lake Ave, White City, OR 97503 | 2010-04-29 |
| 1003921453 | Rogue Rx Inc. | Pharmacy | 7591 A Crater Lake Hwy, Suite A, White City, OR 97503 | 2006-08-19 |
| 1962419259 | Marcus Mayfield | Nurse Practitioner | 8459 Crater Lake Highway, White City, OR 97503 | 2006-08-01 |
| 1831119825 | Steven E Brilliant | Internal Medicine | 8495 Crater Lake Highway, White City, OR 97503 | 2006-07-20 |
| 1417990177 | Carolyn Wecks Bartlett | Nurse Practitioner | 8594 Crater Lake Hwy, Southern Oregon Rehab Centers and Clinics, White City, OR 97503 | 2006-06-13 |
| Find all providers in zip 97503 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679857551 | Emily E. Aldridge | Registered Nurse | Va Sorcc, 8495 Crater Lake Hwy, White City, OR 97503 | 2011-10-10 |
| 1619575875 | Victor Paul Garcia | Registered Nurse | 2841 Avenue G Ste 100, White City, OR 97503-3030 | 2020-10-11 |
| 1003428244 | Adrian Anthony Garibay | Registered Nurse | 8495 Crater Lake Hwy, White City, OR 97503-3011 | 2020-08-19 |
| 1538631809 | Amanda Quistorff | Registered Nurse | 8495 Crater Lake Hwy, White City, OR 97503-3011 | 2018-12-26 |
| 1760619258 | Daniel Duane Sorenson | Registered Nurse | 8495 Crater Lake Hwy, White City, OR 97503-3011 | 2009-06-11 |
| 1649480898 | Susan Gail Douma | Registered Nurse | 8495 Crater Lake Hwy, White City, OR 97503-3011 | 2007-05-23 |
| 1518902865 | Susan M. Neveu | Registered Nurse | 8495 Crater Lake Hwy, White City, OR 97503-3011 | 2006-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275133076 | Mariana Aguero-sollo Ivie | Registered Nurse | 4577 Souza St, Eugene, OR 97402-6120 | 2020-10-30 |
| 1295332567 | Kara Lynn Liechty | Registered Nurse | 11003 Sw 30th Pl, Portland, OR 97219-2588 | 2020-10-08 |
| 1578170668 | Marissa Ortega Colangelo | Registered Nurse | 2315 11th St, North Bend, OR 97459-2102 | 2020-09-23 |
| 1194331942 | Grace Duncan | Registered Nurse | 1200 Nw Marshall St Ste 1102, Portland, OR 97209-3177 | 2020-09-17 |
| 1790390151 | Megan M Goodman | Registered Nurse | 4262 N Vancouver Ave Apt 221, Portland, OR 97217-2995 | 2020-09-12 |
| 1952916678 | Rachel Nelson | Registered Nurse | 23301 Sw Bosky Dell Ln, West Linn, OR 97068-9130 | 2020-09-10 |
| 1548872963 | Courtney Marie Iaquinto Smith | Registered Nurse | 22 Se 11th Ave Apt 103, Portland, OR 97214-1392 | 2020-08-18 |
| 1508484759 | Jennifer Campbell | Registered Nurse | 3710 Sw Us Veterans Hospital Rd Bldg 100, Portland, OR 97239-2964 | 2020-07-13 |
| 1104441153 | Keri Swanson | Registered Nurse | 617 Nw 112th Ave, Portland, OR 97229-6118 | 2020-06-15 |
| 1043834062 | Nalani Zoe Thompson | Registered Nurse | 635 Hwy 20 N, Suite #4, Hines, OR 97738 | 2020-06-05 |
| Find all providers with the same taxonomy | ||||
| City | WHITE CITY |
| Zip Code | 97503 |
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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.