KIM MICHELE CLARK (NPI# 1760638290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760638290 |
| Entity Type | Individual |
| Full Name | KIM MICHELE CLARK |
| Credential | RN |
| Practice Address |
6820 Nw Grandview Dr Corvallis OR 97330-2706 |
| Practice Telephone | 5417530708 |
| Mailing Telephone | 5417530708 |
| Enumeration Date | 2008-08-15 |
| Last Update Date | 2008-08-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 095006090RN | OR | Nursing Service Providers |
| N | 172V00000X | Community Health Worker | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700934072 | Kim M. Clark | Massage Therapist | 9508 Canyon Rd E, Puyallup, WA 98371-6302 | 2007-01-05 |
| 1215091095 | Kim M Clark | Optometrist | 12000 Se 82nd Avenue, #2012, Portland, OR 97266-7721 | 2006-12-19 |
| 1497236301 | Kim Clark | Counselor | 1800 Mercy Dr, Orlando, FL 32808-5646 | 2018-08-28 |
| 1225428402 | Kim Clark | Behavioral Analyst | 510 W. 11th Street, Family Solutions, Medford, OR 97501 | 2015-01-27 |
| 1023255940 | Kim Evans Clark | Nurse Anesthetist, Certified Registered | 701 Grove Rd, 2nd Floor Anesthesia, Greenville, SC 29605-5611 | 2009-01-14 |
| 1316135312 | Kim Ann Clark | Case Manager/Care Coordinator | 829 Halbert St, Malvern, AR 72104-2607 | 2007-10-04 |
| 1609069087 | Kim J. Clark | Massage Therapist | 1424 16th Ave, Longview, WA 98632-2901 | 2007-08-20 |
| 1508074311 | Kim Clark | Social Worker | 226 Leonard Rd, South Royalton, VT 05068-9565 | 2007-05-18 |
| Street Address |
6820 NW GRANDVIEW DR |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97330-2706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754912 | Miya Claborn | Counselor | 4495 Se Hwy 20, Corvallis, OR 97330 | 2020-06-09 |
| 1548889017 | Greydi Olvera | Counselor | Childrens Farm Home 4455 Ne Hwy 20, Corvallius, OR 97330 | 2020-04-14 |
| 1053953992 | Andie Marie Gaipo | Counselor | 4455 Ne Hwy 20 - Children's Farm Home, Corvallis, OR 97330 | 2019-10-11 |
| 1740847177 | Stephen Jack Eccles | Behavior Technician | Trillium Children's Farm Home, 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-05-21 |
| 1750944815 | Tiffany Rene Flinchpaugh | Counselor | Children's Farm Home 4455 Hwy 20, Corvallis, OR 97330 | 2019-04-15 |
| 1679035455 | Isaiah Mile Cassidy | Counselor | Children's Farm Home-4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-04-02 |
| 1982168399 | Haylee Cramblit | Counselor | Children's Farm Home 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-01-30 |
| 1457835365 | Ashley Alyn Couch | Counselor | 4455 Hwy 20 Corvallis 97330, Corvallis, OR 97330 | 2018-09-18 |
| 1104318898 | Megan Gerding | Technician, Other | 996 Nw Circle Blvd Suite 103, Corvallis, OR 97330 | 2018-05-30 |
| 1700377108 | Pacific Hearing Services | Audiologist | 975 Nw Spruce Ave, Suite #101, Corvallis, OR 97330 | 2018-05-22 |
| Find all providers in zip 97330 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215581269 | Marianitata Jimenez | Registered Nurse | 5166 Sw Meadow Flower Dr, Corvallis, OR 97333-1186 | 2019-07-29 |
| 1841730322 | Karin Olszewski | Registered Nurse | 966 Nw Circle Blvd, Corvallis, OR 97330-1410 | 2017-03-02 |
| 1528308368 | Marilyn A Lanterman X | Registered Nurse | 2964 Nw Audene Pl, Corvallis, OR 97330-3241 | 2013-02-14 |
| 1174860233 | Anne Lusignan Hansen | Registered Nurse | 2951 Nw Hayes Ave, Corvallis, OR 97330-1855 | 2013-01-09 |
| 1356685622 | Susan Gay Merrill | Registered Nurse | 521 Nw 35th St, Corvallis, OR 97330-4912 | 2012-11-26 |
| 1790930238 | Sandra Lee Morris | Registered Nurse | 945 Se Marion Ave, Corvallis, OR 97333-2039 | 2008-11-25 |
| 1962676015 | Meredith Weir | Registered Nurse | 743 Nw Beaver Pl, Corvallis, OR 97330-3703 | 2008-04-19 |
| 1306034525 | Rebecca Garrett | Registered Nurse | Osu-shs 108 Sw Memorial Place, 201 Plageman Building, Corvallis, OR 97331-5801 | 2007-10-12 |
| 1760675078 | Donna M. Bochner | Registered Nurse | 2601 Ne Jack London St Unit 86, Corvallis, OR 97330-6914 | 2007-08-20 |
| 1699803932 | Linda Stauff Lieberman | Registered Nurse | 833 Nw Buchanan Ave Ste 7, Corvallis, OR 97330-6217 | 2007-02-28 |
| Find all providers in CORVALLIS | ||||
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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.