ALLISON M CLARK (NPI# 1578085759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578085759 |
Entity Type | Individual |
Full Name | ALLISON M CLARK |
Practice Address |
1655 Sw Highland Ave Ste 3 Redmond OR 97756-2558 |
Mailing Address |
20683 Liberty Ln Bend OR 97701-8564 |
Practice Telephone | 5419232654 |
Mailing Telephone | 5038127040 |
Enumeration Date | 2017-07-10 |
Last Update Date | 2018-06-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | 500617421 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912405291 | Allison Kaye Clark | Nurse Practitioner | 1270 Avenue of The Americas Ste 757, New York, NY 10020-1700 | 2018-02-01 |
1306087119 | Allison Maria Clark | Physical Therapist | 305 Sharon Rose Ln., Delhi, NY 13753 | 2009-03-09 |
1144467259 | Allison Kutner Clark | Behavioral Analyst | 3705 Bevan Dr, Fairfax, VA 22030-4812 | 2009-01-12 |
1750533329 | Allison Grace Clark | Physical Therapist | 350 S Main St Ste 216, Doylestown, PA 18901-4873 | 2008-10-15 |
1962671859 | Allison Clark | Massage Therapist | 1611 Kresky Ave Ste 108, Suite A, Centralia, WA 98531-8982 | 2008-02-25 |
1295336972 | Allison Mary Clark | Speech-Language Pathologist | 1 Trafalgar Sq Ste 204, Nashua, NH 03063-1998 | 2020-11-08 |
1063040947 | Allison Clark | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd, Aventura, FL 33180-1495 | 2020-03-27 |
1225670086 | Allison Honeycutt Clark | Specialist/Technologist | 101 Heart Dr, Greenville, NC 27834-8982 | 2019-10-14 |
1750945366 | Allison Leigh Clark | Nurse Practitioner | 501 Howard Ave Ste F2, Altoona, PA 16601-4882 | 2019-04-29 |
1972099133 | Allison Simone Clark | Case Manager/Care Coordinator | 9403 Mansfield Rd, Shreveport, LA 71118-3815 | 2018-07-10 |
Street Address |
1655 SW HIGHLAND AVE STE 3 |
City | REDMOND |
State | OR |
Zip Code | 97756-2558 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760674311 | David A Minshew | Counselor | 1655 Sw Highland Ave Ste 3, Redmond, OR 97756-2558 | 2007-08-16 |
1952917197 | Thomas Gulick | Peer Specialist | 1655 Sw Highland Ave Ste 3, Redmond, OR 97756-2558 | 2020-09-22 |
1386268381 | Shawn Diez | Counselor | 1655 Sw Highland Ave Ste 3, Redmond, OR 97756-2558 | 2020-06-04 |
1235774043 | Joshua Lee Boyd | Counselor | 1655 Sw Highland Ave Ste 3, Redmond, OR 97756-2558 | 2019-11-15 |
1043868086 | Lisa Suran Dunning | Counselor | 1655 Sw Highland Ave Ste 3, Redmond, OR 97756-2558 | 2019-09-03 |
1629533377 | Elizabeth Chappellet Omlid | Counselor | 1655 Sw Highland Ave Ste 3, Redmond, OR 97756-2558 | 2019-02-06 |
1962976589 | Josh Sage Brown | Counselor | 1655 Sw Highland Ave Ste 3, Redmond, OR 97756-2558 | 2019-01-16 |
1528546512 | Julie Nye | Counselor | 1655 Sw Highland Ave Ste 3, Redmond, OR 97756-2558 | 2018-08-01 |
1821519323 | Pamela Spencer | Counselor | 1655 Sw Highland Ave Ste 3, Redmond, OR 97756-2558 | 2017-07-05 |
1144766940 | Tianna Nieri | Counselor | 1655 Sw Highland Ave Ste 3, Redmond, OR 97756-2558 | 2017-01-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679083349 | Vicki Rae Morris | Foster Care Agency | 3585 Sw 35th St., Redmond, OR 97756 | 2017-10-06 |
1275066417 | Norco, Inc | Durable Medical Equipment & Medical Supplies | 655 Nw Jackpine Ave, Redmond, OR 97756 | 2017-04-05 |
1750778015 | Kelly Gobler | Occupational Therapy Assistant | 3000 Sw 32nd Street, The Heights Assisted Living, Redmond, OR 97756 | 2015-04-23 |
1912303934 | Andrea Adams | Pharmacist | 944 Sw Veterans Way, Redmond, OR 97756 | 2014-11-18 |
1649670365 | Advantage Dental Clinics LLC | Dentist | 442 Sw Umatilla Ave., Suite 200, Redmond, OR 97756 | 2014-08-29 |
1760891832 | Elizabeth Mae Smith | Counselor | 2659 Sw 4th St Ste 102, Redmond, OR 97756 | 2014-08-04 |
1700296837 | Heather A Ahlf | Physician Assistant | 1245 Nw Canal Blvd, Redmond, OR 97756 | 2014-04-29 |
1306289277 | Asa Racquel Aramburo | Social Worker | 203 Sw 8th St., Redmond, OR 97756 | 2013-04-10 |
1427396969 | Alison Elizabeth Jackson | Pharmacist | 944 Sw 9th Street, Redmond, OR 97756 | 2013-01-17 |
1083964449 | Julie C Plachta | Mechanotherapist | 654 Nw 4th Street, Redmond, OR 97756 | 2012-09-13 |
Find all providers in zip 97756 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871190900 | Gianni Elizabeth | Counselor | 1655 Sw Highland Ave Ste 5, Redmond, OR 97756-2558 | 2020-10-01 |
1790398212 | Tiffany Stadler | Counselor | 3361 Sw Xero Ct, Redmond, OR 97756-0321 | 2020-08-25 |
1871124024 | Judith Lorae Thomas | Counselor | 8301 161st Ave Ne Ste 202, Redmond, WA 98052-3858 | 2020-01-27 |
1619523248 | Jennifer Mckague, Lpc, Lcc | Counselor | 2775 Sw 17th Pl Ste 7, Redmond, OR 97756-1254 | 2019-08-09 |
1134687254 | Shawn Reese | Counselor | 676 Ne Maple Ave, Redmond, OR 97756-8527 | 2019-03-07 |
1659836278 | Brooke Lundquist | Counselor | 16705 Ne 79th St, Redmond, WA 98052-4425 | 2019-02-07 |
1629553961 | Alfredo Lee Guzman | Counselor | 15600 Redmond Way Ste 102, Redmond, WA 98052-3862 | 2018-10-02 |
1700303872 | Aldon Schwimmer | Counselor | 11333 204th Ave Ne, Redmond, WA 98053-5107 | 2017-08-29 |
1073043915 | Randall Scott Krieger | Counselor | 852 Sw 15th St, Redmond, OR 97756-2507 | 2017-06-14 |
1689022071 | Ishani Grover | Counselor | 8250 165th Ave Ne Ste 210, Redmond, WA 98052-6628 | 2016-05-26 |
Find all providers in REDMOND |
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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.