Carly Clark, RDH, EP

Individual Active
NPI 1760827356
Advanced Practice Dental Therapist Portland, OR

NPI 1760827356 belongs to Carly Clark, RDH, EP, an advanced practice dental therapist with a practice location in Portland, OR. The NPI was issued on May 8, 2013, and the record was last updated in NPPES on May 8, 2013.

This record hasn't been updated in NPPES since 2013. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Advanced Practice Dental Therapist Primary 125K00000X H5380 (OR)

Practice location

3324 N Arlington Pl
Portland, OR 97217-7204
Phone: (503) 887-5923

Local context

Active NPPES records list 4 providers with advanced practice dental therapist as the primary taxonomy within 25 miles of this practice location's ZIP code, 3 of them within 10 miles.

The same primary taxonomy is listed by 4 in Oregon and 106 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Carly Rene' Clark
Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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