HEIDI CLARK (NPI# 1730456427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730456427 |
| Entity Type | Individual |
| Full Name | HEIDI CLARK |
| Credential | ND, LAC |
| Practice Address |
4530 Sw Hall Blvd Beaverton OR 97005-0504 |
| Practice Telephone | 5036446555 |
| Mailing Telephone | 5036446555 |
| Enumeration Date | 2011-11-23 |
| Last Update Date | 2014-05-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | AC156029 | OR | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720154701 | Heidi Lynn Clark | Dietitian, Registered | 60 Mdg/mdts, 101 Bodin Circle, Travis Afb, CA 94535-1809 | 2006-11-28 |
| 1255321386 | Heidi Marie Clark | Family Medicine | 10 Trieble Dr, Tunkhannock, PA 18657-7054 | 2005-10-28 |
| 1962821041 | Heidi Clark | Physical Therapist | 2455 Union Lake Rd, Commerce Twp, MI 48382-3596 | 2014-04-15 |
| 1649520560 | Heidi S Clark | Speech-Language Pathologist | 1000 E University Ave Dept 3311, Laramie, WY 82071-2001 | 2012-09-18 |
| 1154614808 | Heidi C. Clark | Case Manager/Care Coordinator | 31912 Little Boston Rd Ne, Kingston, WA 98346-9700 | 2011-05-26 |
| 1487808028 | Heidi Lynn Clark | Speech-Language Pathologist | 1529 Nye Rd, Lyons, NY 14489-9111 | 2008-11-10 |
| 1992902282 | Heidi Marie Clark | Nurse Practitioner | 795 El Camino Real, Palo Alot, CA 94301-2203 | 2007-06-29 |
| 1740403542 | Heidi Ringgenberg Clark | Speech-Language Pathologist | 11688 Lake Forest Pkwy, Carmel, IN 46033-7208 | 2007-04-10 |
| 1124189196 | Heidi Clark | Nurse Practitioner | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2006-12-13 |
| Street Address |
4530 SW HALL BLVD |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97005-0504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669750642 | Angela Briana Coate-hermes | Dietitian, Registered | 4530 Sw Hall Blvd, Beaverton, OR 97005-0504 | 2011-07-25 |
| 1548694433 | Kiyoka Ogura | Acupuncturist | 4530 Sw Hall Blvd, Beaverton, OR 97005 | 2013-08-27 |
| 1407190952 | Fanno Creek Healing Arts LLP | Chiropractor | 4530 Sw Hall Blvd, Beaverton, OR 97005-0504 | 2012-11-23 |
| 1922357599 | Fariba Eshragh | Chiropractor | 4530 Sw Hall Blvd, Beaverton, OR 97005-0504 | 2012-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945053 | Krista Lowe Schimmelbusch | Student in an Organized Health Care Education/Training Program | 12730 Sw 3rd St., Beaverton, OR 97005 | 2020-06-05 |
| 1346882578 | Mireya Elissa Nunez I | Counselor | 12665 Sw Center Street, Suite 100, Beaverton, OR 97005 | 2019-10-09 |
| 1548816879 | Logan James Patzlaff | Behavior Technician | 6200 Sw Artic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-08-13 |
| 1528521424 | Alex Taylor Foerman | Behavior Technician | 6200 Sw Arctic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-04-09 |
| 1285193003 | Hazelnut Dental LLC | Clinic/Center | 10773 Sw Beaverton-hillsdale Hwy, Ste B, Beaverton, OR 97005 | 2019-03-19 |
| 1992286348 | Kathryn Wallner | Counselor | 14205 Sw Farmington Road, Suite 160, Beaverton, OR 97005 | 2018-08-23 |
| 1699265058 | Meaghan Mikulic | Social Worker | 14355 Sw Allen Blvd Suite 150, Beaverton, OR 97005 | 2018-05-11 |
| 1629568936 | Aimee J Nelson | Massage Therapist | 10700 Sw Beaverton Hillsdale Hwy Ste 465, Beaverton, OR 97005 | 2018-05-11 |
| 1093221780 | Ember Dahl | Massage Therapist | 12655 Sw Center St Ste 530, Beaverton, OR 97005 | 2017-12-18 |
| 1033667456 | Andre Vo | Pharmacist | 2575 Sw Walker Rd, Beaverton, OR 97005 | 2016-09-14 |
| Find all providers in zip 97005 | ||||
| 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 |
|---|---|---|---|---|
| 1184248726 | Chirocentric, LLC | Acupuncturist | 12620 Sw 3rd St Ste A, Beaverton, OR 97005-2775 | 2020-05-29 |
| 1184256596 | Tameka B Lim-velasco | Acupuncturist | 12670 Sw 3rd St Apt 2, Beaverton, OR 97005-2771 | 2020-02-04 |
| 1104375500 | Body Mechanix Acupuncture/massage | Acupuncturist | 9355 Sw Davies Rd, Beaverton, OR 97008-6766 | 2016-09-26 |
| 1366896367 | Kenny Jung | Acupuncturist | 4525 Sw 109th Ave, Beaverton, OR 97005-3022 | 2016-04-16 |
| 1356747323 | Abigail Ballaban | Acupuncturist | 12555 Sw 1st St., Sage Center, Beaverton, OR 97005 | 2014-11-18 |
| 1316350606 | Jessica Lynn Wedlake | Acupuncturist | 8196 Sw Hall Blvd Ste 204, Beaverton, OR 97008-6411 | 2014-06-04 |
| 1801226527 | Edward Ildoe Bae | Acupuncturist | 13755 Sw Farmington Rd, Beaverton, OR 97005-2603 | 2013-11-15 |
| 1457698102 | Rachel Nicole Johnson | Acupuncturist | 9989 Sw Nimbus Ave, Beaverton, OR 97008-7150 | 2013-01-14 |
| 1598001745 | Mill-e-moto | Acupuncturist | 4625 Sw Washington Ave, Beaverton, OR 97005-0529 | 2012-12-17 |
| 1770833634 | Pamela Patrice Lovall | Acupuncturist | 4590 Sw Watson Ave, Beaverton, OR 97005-0545 | 2012-09-18 |
| Find all providers in BEAVERTON | ||||
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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.