KYLE CLARK (NPI# 1336787902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336787902 |
| Entity Type | Individual |
| Full Name | KYLE CLARK |
| Credential | LAC. |
| Practice Address |
917 Sw Oak St Ste 308 Portland OR 97205-2806 |
| Mailing Address |
1129 Sw Washington St Apt 312 Portland OR 97205-2317 |
| Practice Telephone | 9718883602 |
| Mailing Telephone | 9718883602 |
| Enumeration Date | 2019-12-13 |
| Last Update Date | 2019-12-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | AC195610 | OR | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891955662 | Kyle Warner Clark | Dentist | 1008 Rushleigh Rd, Cleveland Heights, OH 44121-1415 | 2008-06-14 |
| 1922608926 | Kyle Clark | Pharmacist | 401 Linwood Plz, Lindsay, OK 73052-4602 | 2020-10-28 |
| 1427669480 | Kyle Clark | Behavior Technician | 1300 Locust St Ste C, Harrisonville, MO 64701-1366 | 2020-08-13 |
| 1750906533 | Kyle Clark | Behavior Technician | 13101 W Washington Blvd, Los Angeles, CA 90066-5131 | 2020-06-08 |
| 1801415864 | Kyle R Clark | Physician Assistant | 5666 E State St, Rockford, IL 61108-2425 | 2020-04-10 |
| 1376170613 | Kyle Clark | Physical Therapist | 3155 N Point Pkwy, Alpharetta, GA 30005-5481 | 2020-03-26 |
| 1669031829 | Kyle N Clark | Behavior Technician | 100 Spenryn Dr, Madison, AL 35758-1890 | 2019-06-11 |
| 1588134068 | Kyle Clark | Behavior Technician | 601 University Ave Ste 175, Sacramento, CA 95825-6739 | 2018-11-28 |
| 1639521206 | Kyle Allen Clark | Dentist | 113 Cross Creek Blvd, Salem, IL 62881-1921 | 2016-07-07 |
| 1679946057 | Kyle Clark | Pharmacist | 3780 E 15th St, Loveland, CO 80538-8766 | 2015-11-05 |
| Street Address |
917 SW OAK ST STE 308 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97205-2806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871026062 | Leila Soltani | Dentist | 430 Sw 13th Ave Apt 2010, Portland, OR 97205 | 2017-04-05 |
| 1114374949 | Elizabeth Alire | Counselor | 1411 Sw Morrison St., Portland, OR 97205 | 2016-05-23 |
| 1508237462 | Pacific Psychology and Comprehensive Health Center | Community/Behavioral Health | 1411 Sw Morrison Ave, Suite 310, Portland, OR 97205 | 2015-10-16 |
| 1265803761 | Alana Branson | Naturopath | 1033 Sw Yamhill Street, Suite 403, Portland, OR 97205 | 2015-10-10 |
| 1720458011 | Kate Ohene | Counselor | 1411 Sw Morrison Street, Suite 310, Portland, OR 97205 | 2015-09-30 |
| 1285004671 | Christina Nannette Mendoza | Counselor | 1411 Sw Morriston Street, 310, Portland, OR 97205 | 2015-09-29 |
| 1083095947 | Patricia Burton | Registered Nurse | 1312 Sw Washinghton, Portland, OR 97205 | 2015-06-16 |
| 1649663071 | Huey Holistic | Clinic/Center | 1221 Sw Yamill, Suite 300, Portland, OR 97205 | 2015-03-10 |
| 1376952796 | Joan Kendall Ayala | Counselor | 610 Sw Alder St Ste 915, Portland, OR 97205 | 2014-08-11 |
| 1316356165 | Satheara Sin | Massage Therapist | 1033 Sw Yamhill St. #403, Portland, OR 97205 | 2014-08-06 |
| Find all providers in zip 97205 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073490 | Krista Marie Obenlock | Acupuncturist | 2408 N Baldwin St, Portland, OR 97217-6404 | 2020-11-06 |
| 1841897550 | Woven Wellness LLC | Acupuncturist | 6511 N Interstate Ave, Portland, OR 97217-4835 | 2020-10-06 |
| 1518571322 | Charisse Renee Squires | Acupuncturist | 1804 Se Oak St, Portland, OR 97214-1538 | 2020-08-31 |
| 1659989069 | Touchet Acupuncture | Acupuncturist | 4605 Ne Fremont St Ste 204a, Portland, OR 97213-1715 | 2020-07-22 |
| 1417571480 | Dragon Rises Center for Wholeness | Acupuncturist | 4852 Sw Scholls Ferry Rd, Portland, OR 97225-1698 | 2020-06-04 |
| 1972126191 | Acupuncture By Maya Martinez LLC | Acupuncturist | 12732 Se Stark St Bldg G, Portland, OR 97233-1539 | 2020-05-21 |
| 1437771854 | Hannah Grice | Acupuncturist | 11750 Sw Barnes Rd Ste 240, Portland, OR 97225-5911 | 2020-05-07 |
| 1164043022 | Michelle Yan | Acupuncturist | 2855 Nw Thurman St, Portland, OR 97210-2206 | 2020-05-01 |
| 1174144562 | Dean Mcnash | Acupuncturist | 2222 Se Woodward St, Portland, OR 97202-2157 | 2020-04-27 |
| 1205456548 | Zev J Alpert | Acupuncturist | 3150 Sw Bertha Blvd Apt 11, Portland, OR 97239-1181 | 2020-04-16 |
| Find all providers in PORTLAND | ||||
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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.