MRS. AMY RENAE CLARK (NPI# 1063064780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063064780 |
| Entity Type | Individual |
| Full Name | MRS. AMY RENAE CLARK |
| Other Name | AMY RENAE CLARK |
| Credential | HEALTH CARE EDUCATOR |
| Practice Address |
2725 Sw Cedar Hills Blvd Beaverton OR 97005-1416 |
| Mailing Address |
2725 Sw Cedar Hills Blvd Ste 250 Beaverton OR 97005-1469 |
| Practice Telephone | 5034154060 |
| Practice Fax Number | 5034154061 |
| Mailing Telephone | 5034154060 |
| Mailing Fax Number | 5034154061 |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2019-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174H00000X | Health Educator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245640085 | Amy Clark | Nurse Practitioner | 1641 Highway 19e Byp, Elizabethton, TN 37643-4646 | 2014-05-01 |
| 1386988194 | Amy J. Clark | Registered Nurse | 731 18th Ave, San Francisco, CA 94121-3824 | 2012-11-16 |
| 1104121318 | Amy Beth Clark | Nurse Practitioner | 5197 Georgetown Rd, Franklin, PA 16323-4807 | 2011-01-19 |
| 1568766756 | Amy Sue Clark | Speech-Language Pathologist | 6 Erica Ct, Pueblo, CO 81001-1074 | 2011-01-02 |
| 1124328570 | Amy Leigh Clark | Social Worker | 1950 Trenton St, #412, Denver, CO 80220-2064 | 2010-11-01 |
| 1437461191 | Amy J Clark | Speech-Language Pathologist | 3609 Western Ave, Mattoon, IL 61938-2040 | 2010-07-10 |
| 1215257498 | Amy Clark | Occupational Therapy Assistant | 2770 Juniper Dr, Batesville, AR 72501-7801 | 2010-06-10 |
| 1881818656 | Amy Elizabeth Clark | Speech-Language Pathologist | 1027 Hiland St, Monticello, KY 42633-1370 | 2007-04-12 |
| 1023188018 | Amy Clark | Physical Therapist | 9381 East Stockton Blvd, Ste 108, Elk Grove, CA 95624 | 2006-11-08 |
| 1134236631 | Amy Clark | Physical Therapist | 506 Ne State Route 291, Lees Summit, MO 64086-2533 | 2006-08-23 |
| Street Address |
2725 SW CEDAR HILLS BLVD |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97005-1416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952796468 | Lisa Kipersztok | Family Medicine | 2725 Sw Cedar Hills Blvd, Beaverton, OR 97005-1416 | 2015-04-01 |
| 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 | 174H00000X |
| Grouping | Other Service Providers |
| Classification | Health Educator |
| Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor’s degree and may receive additional training, such as through mentoring, internships, or volunteer work. |
| Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669006177 | Beaverton Birth & Babies LLC | Health Educator | 18205 Sw Broad Oak Blvd, Beaverton, OR 97007-4611 | 2020-02-24 |
| 1851953988 | Michelle Allain | Health Educator | 2725 Sw Cedar Hills Blvd Ste 250, Beaverton, OR 97005-1469 | 2019-06-28 |
| 1376014027 | Mariahm Stephenson | Health Educator | 12725 Sw Millikan Way Ste 300, Beaverton, OR 97005-1687 | 2018-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174120323 | James David Bongcayao | Health Educator | 2420 Kincaid St, Eugene, OR 97405-3056 | 2020-10-01 |
| 1215557319 | Genevieve White | Health Educator | 67477 E Bright Ct, Welches, OR 97067-8708 | 2020-04-20 |
| 1396365656 | Amy L Davis-bruner | Health Educator | 1320 Nw 27th St, Corvallis, OR 97330-2445 | 2020-04-16 |
| 1295361061 | Timothy Patching | Health Educator | 7650 S Prairie Rd, Tillamook, OR 97141-9542 | 2020-03-12 |
| 1942835616 | Julie Ann Krohn | Health Educator | 34600 Cape Kiwanda Dr, Pacific City, OR 97135-8020 | 2020-03-03 |
| 1265062517 | Anna Cobarrubia | Health Educator | Tillamook Family Ymca, 610 Stillwell Ave., Tillamook, OR 97141 | 2020-01-24 |
| 1033755517 | Suzanne Bjaranson | Health Educator | 2002 Se Chokeberry Ave, Warrenton, OR 97146-7340 | 2019-11-20 |
| 1952942252 | Olga Householder | Health Educator | 300 Sw Hill Rd, Mcminnville, OR 97128-9133 | 2019-10-08 |
| 1598323040 | Deschutes County Oregon | Health Educator | 1130 Nw Harriman St, Bend, OR 97703-1977 | 2019-05-30 |
| 1013477686 | Brenda Louise Duerksen | Health Educator | 8800 Se Sunnyside Rd Ste 224s, Clackamas, OR 97015-5770 | 2019-03-21 |
| Find all providers with the same taxonomy | ||||
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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.