MRS. LYNN RENEE CLARK (NPI# 1326213679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326213679 |
| Entity Type | Individual |
| Full Name | MRS. LYNN RENEE CLARK |
| Credential | COTA |
| Practice Address |
301 Ridings Avenue Molalla OR 97038 |
| Mailing Address |
332 Steelhead St Molalla OR 97038 |
| Practice Telephone | 5038295591 |
| Mailing Telephone | 5038297472 |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2008-04-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346461944 | Lynn Marie Clark | Dietitian, Registered | 10500 N. Stratford Place, Mequon, WI 53092-5553 | 2007-05-01 |
| 1649313040 | Lynn W Clark | Speech-Language Pathologist | 3525 Lakewood Dr, Mount Vernon, IN 47620-8943 | 2007-02-15 |
| 1699883512 | Lynn Davis Clark | Counselor | 5505 John Eskew Blvd, Alexandria, LA 71303-3725 | 2006-08-29 |
| 1346688546 | Lynn Michelle Clark | Pharmacist | 200 N Carrier Pkwy, Suite 112, Grand Prairie, TX 75050 | 2013-06-10 |
| 1912296955 | Lynn Forsyth Clark | Registered Nurse | 1525 W Frye Rd, Chandler, AZ 85224-6178 | 2011-03-30 |
| 1033269824 | Lynn Robinson Clark | Dentist | 3310 Franklin Rd Sw, Roanoke, VA 24014-1310 | 2007-01-12 |
| 1972686855 | Lynn Marie Clark | Nurse Practitioner | 1935 Motor St, E05.505.y, Dallas, TX 75235-7701 | 2006-10-23 |
| 1023024940 | Lynn A Clark | Registered Nurse | 11511 Canterwood Blvd Nw, Ste 145, Gig Harbor, WA 98332-5813 | 2006-07-31 |
| Street Address |
301 RIDINGS AVENUE |
| City | MOLALLA |
| State | OR |
| Zip Code | 97038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316435241 | Daniel J Floyd Dmd Ms LLC | Dentist | 863 W. Main St., Suite 200, Molalla, OR 97038 | 2018-04-26 |
| 1285985002 | Julie Kornilkin | Massage Therapist | 9021 S. Gibson Rd., Bldg. B, Molalla, OR 97038 | 2012-09-20 |
| 1083887285 | Geoffrey Hsi-wen Wang | Dentist | 175 Grange Avenue, Molalla, OR 97038 | 2008-04-08 |
| 1629283627 | Inkrote Chiropractic Clinic, PC | Chiropractor | 217 N Molalla Ave, Molalla, OR 97038 | 2007-05-12 |
| 1063589406 | Sabrina Marie Frolov | Chiropractor | 207 S Molalla Ave, Molalla, OR 97038 | 2006-11-29 |
| 1639254204 | Silverton Hospital | Specialist | 861 West Main Street, Molalla, OR 97038 | 2006-10-25 |
| 1235231275 | Jay Wallace Walker | Optometrist | 502 E Main Street, Molalla, OR 97038 | 2006-09-01 |
| 1427087931 | Heather Mary Tonga | Physician Assistant | 110 Center Ave, Molalla, OR 97038 | 2006-06-30 |
| 1497715270 | Cutters Hi-school Pharmacy | Pharmacy | 103 Robbins St, Molalla, OR 97038 | 2006-03-24 |
| 1932612884 | Madalyn Renee Donaldson | Massage Therapist | 317 N Molalla Ave, Molalla, OR 97038 | 2017-11-14 |
| Find all providers in zip 97038 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154317402 | Care Center (molalla) Inc. | Skilled Nursing Facility | 301 Ridings Ave, Molalla, OR 97038-9201 | 2005-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565035 | Bkd Hillside Opco, LLC | Skilled Nursing Facility | 440 Nw Hillside Park Way, Mcminnville, OR 97128 | 2020-10-16 |
| 1689231383 | Marquis Companies I Inc | Skilled Nursing Facility | 410 Se Church Street, Sublimity, OR 97385 | 2019-05-29 |
| 1720528003 | Rashelle M Johnson | Skilled Nursing Facility | 2457 Ne Bobbi Pl, Prineville, OR 97754-9089 | 2017-03-06 |
| 1881133254 | Jessie Steele | Skilled Nursing Facility | 2693 Nw Crossing Dr, Bend, OR 97703-7347 | 2017-02-18 |
| 1063969988 | Set Op Co | Skilled Nursing Facility | 1220 20th St Se, 310, Salem, OR 97302-1205 | 2016-09-08 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| 1710336672 | Lauren Biamont | Skilled Nursing Facility | 5748 Smoketree Dr Se, Salem, OR 97306-1260 | 2016-06-10 |
| 1801278049 | Darrel A Decker | Skilled Nursing Facility | 350 8th Street, Lebanon, OR 97355 | 2015-06-24 |
| 1508250762 | West Linn Care Ctr Operating Co, LLC | Skilled Nursing Facility | 2330 Deok Rd., West Linn, OR 97068-3902 | 2015-03-26 |
| 1568871770 | Keizer River Operations, LLC | Skilled Nursing Facility | 450 Clagett Ct. N, Keizer, OR 97303-4400 | 2014-08-13 |
| 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.