DESI CLARK (NPI# 1346886181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346886181 |
| Entity Type | Individual |
| Full Name | DESI CLARK |
| Practice Address |
888 Nw Hill St Bend OR 97703-2766 |
| Mailing Address |
17840 Plainview Rd Bend OR 97703-9217 |
| Practice Telephone | 9717726071 |
| Mailing Telephone | 9717726071 |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2019-11-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 24427 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
888 NW HILL ST |
| City | BEND |
| State | OR |
| Zip Code | 97703-2766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477729986 | Mcguire Ellingboe, LLP | Community/Behavioral Health | 888 Nw Hill St, Suite 1, Bend, OR 97701-2766 | 2008-05-05 |
| 1174139588 | Moon Marcelle Bukas | Massage Therapist | 888 Nw Hill St, Bend, OR 97703-2766 | 2020-09-21 |
| 1659601151 | Hannah Mary Reed | Community Health Worker | 888 Nw Hill St, Suite 6, Bend, OR 97703-2766 | 2010-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285250704 | Elizabeth Jane Lindt | Counselor | 63311 Jamison Street, Bend, OR 97703 | 2020-06-20 |
| 1790318145 | Leah Alice Williamson | Counselor | 118 Nw Thurston Ave, Bend, OR 97703 | 2020-02-13 |
| 1831658301 | Pretty Moments Lingerie, LLC | Durable Medical Equipment & Medical Supplies | 63455 N Hwy 97 Suite 44, Bend, OR 97703 | 2019-03-14 |
| 1821561150 | Kevin Hallmeyer | Chiropractor | 750 Nw Charbonneau St., Suite 101, Bend, OR 97703 | 2019-01-09 |
| 1346743267 | Jesse Maggie Mae Abraham | Massage Therapist | 39 Nw Lousiana Ave, Bend, OR 97703 | 2018-03-16 |
| 1891202396 | Jerod Paul Michael | Speech-Language Pathologist | 2736 Nw Crossing Dr, Ste. 120, Bend, OR 97703 | 2018-01-05 |
| 1952823023 | Dan Packman | Massage Therapist | 2955 N. Hwy 97, Ste 105, Riverside Wellness, Voila Massage, Bend, OR 97703 | 2017-07-11 |
| 1023460102 | Brennon Patrick Moore | Counselor | 835 Nw Bond St Ste 100, Bend, OR 97703 | 2016-07-12 |
| 1093160269 | Eric Hinds | Optometrist | 63455 N Highway 97 Ste 75, Bend, OR 97703 | 2016-04-25 |
| 1417316191 | Ronald Guiley Od, Mph, PC | Clinic/Center | 63455 N Hwy 97, Ste 75, Bend, OR 97703 | 2016-02-23 |
| Find all providers in zip 97703 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183048 | Anna Schenk | Massage Therapist | 497 Sw Century Dr Ste 105, Bend, OR 97702-1167 | 2020-10-27 |
| 1154938249 | Gretchen May Ramon | Massage Therapist | 61235 Fairfield Dr, Bend, OR 97702-2735 | 2020-09-23 |
| 1366057358 | Stephanie Elaine Triplett | Massage Therapist | 361 Ne Franklin Ave Unit C, Bend, OR 97701-4917 | 2020-09-15 |
| 1811507049 | Megan Brians | Massage Therapist | 3227 Nw Sawyer Trail Pl, Bend, OR 97703-7580 | 2020-08-03 |
| 1295352672 | Christine Anne Stecker | Massage Therapist | 644 Ne Seward Ave, Bend, OR 97701-3840 | 2020-07-01 |
| 1568093920 | Angelina Renae Mccoy | Massage Therapist | 345 Ne Greenwood Ave, Bend, OR 97701-4605 | 2020-02-03 |
| 1780215467 | Mary Major Moore | Massage Therapist | 335 Ne 4th St # Dt, Bend, OR 97701-5162 | 2020-01-30 |
| 1871139204 | Lucca Brown | Massage Therapist | 60848 Taralon Pl, Bend, OR 97702-2977 | 2019-11-20 |
| 1841835790 | Raimundo Martene Moreno | Massage Therapist | 2146 Ne 4th St Ste 140, Bend, OR 97701-3647 | 2019-11-14 |
| 1811531403 | Roemona Rowden | Massage Therapist | 424 Ne Franklin Ave Ste Unit, Bend, OR 97701-4919 | 2019-11-06 |
| Find all providers in BEND | ||||
Please comment or provide details below to improve the information on DESI CLARK.
| 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.