DR. JEFF CLARK (NPI# 1770750671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770750671 |
| Entity Type | Individual |
| Full Name | DR. JEFF CLARK |
| Credential | N.D. |
| Practice Address |
8555 Sw Tualatin Rd Tualatin OR 97062-9425 |
| Mailing Address |
Po Box 23911 Portland OR 97281-3911 |
| Practice Telephone | 5034490476 |
| Mailing Telephone | 5034490476 |
| Mailing Fax Number | 5035790352 |
| Enumeration Date | 2008-05-11 |
| Last Update Date | 2008-05-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175F00000X | Naturopath | 1602 | OR | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932147006 | Jeff Alberto Clark | Pediatrics | Childrens Hospital Mi Pediatrics, 3901 Beaubien 4th Floor Carl's Building, Detroit, MI 48201 | 2006-06-02 |
| 1972128148 | Jeff Clark | Counselor | 118 E Choccolocco St, Oxford, AL 36203-1222 | 2020-06-12 |
| Street Address |
8555 SW TUALATIN RD |
| City | TUALATIN |
| State | OR |
| Zip Code | 97062-9425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780888305 | Glen Jarosz | Naturopath | 8555 Sw Tualatin Rd, Tualatin, OR 97062-9425 | 2007-06-14 |
| 1013442532 | Clifford Seretan | Massage Therapist | 8555 Sw Tualatin Rd, Tualatin, OR 97062-8614 | 2017-04-21 |
| 1447524681 | True Health Medicine PC | Non-Pharmacy Dispensing Site | 8555 Sw Tualatin Rd, Tualatin, OR 97062-8614 | 2012-03-06 |
| 1992957328 | Anya H Chang | Naturopath | 8555 Sw Tualatin Rd, Suite B, Tualatin, OR 97062-9425 | 2008-10-16 |
| 1730341363 | True Health Medicine, PC | Naturopath | 8555 Sw Tualatin Rd, Suite A, Tualatin, OR 97062-9425 | 2008-06-25 |
| 1194983171 | Michael W. Gehlen D.m.d.,p.c. | Dentist | 8555 Sw Tualatin Rd, Tualatin, OR 97062-9425 | 2008-05-27 |
| 1841491792 | Michael W Gehlen | Dentist | 8555 Sw Tualatin Rd, Tualatin, OR 97062-9425 | 2007-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467018739 | Activeedge Tualatin, LLP | Physical Therapist | 19150 Sw 90th Avenue, Suite 200, West Linn, OR 97062 | 2019-05-13 |
| 1932607934 | Naturalways Pediatrics | Clinic/Center | 18813 Sw Martiazzi Ave, Tualatin, OR 97062 | 2018-01-25 |
| 1831646280 | Elizabeth Erin Tafesse | Behavioral Analyst | 18765 Sw Boones Ferry Rd Suite 100, Tualatin, OR 97062 | 2016-09-01 |
| 1962851311 | Ana Mercedes Cerritos-sanchez | Community Health Worker | 19355 Sw 65th Ave Apt A5, Tualatin, OR 97062 | 2016-06-07 |
| 1952759318 | William Luke Summers | Counselor | 18840 Southwest Boones Ferry Rd, Suite 208, Tualatin, OR 97062 | 2016-05-26 |
| 1730536913 | Krystle Alligood | Behavioral Analyst | 18768 Sw Boones Ferry Road, Tualatin, OR 97062 | 2016-05-18 |
| 1760869739 | Oregon City Medical Nw, Inc | Clinic/Center | 6464 Sw Borland Road #d-4, Tualatin, OR 97062 | 2015-04-29 |
| 1396148904 | Tracy Filley | Clinical Nurse Specialist | 18840 Sw Boones Ferry Rd, Suite 208, Tualatin, OR 97062 | 2014-09-28 |
| 1043646474 | Michelle Lords | Registered Nurse | 7668 Sw Mohawk Street, Tualatin, OR 97062 | 2013-09-17 |
| 1871930750 | Sharon Ruth Frank | Social Worker | 7668 Sw Mohawk St., Aps Healthcare, Tualatin, OR 97062 | 2013-05-31 |
| Find all providers in zip 97062 | ||||
| Taxonomy Code | 175F00000X |
| Grouping | Other Service Providers |
| Classification | Naturopath |
| Diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life. |
| Notes: Source: The Federal Dictionary of Occupational Titles, U.S. Department of Labor, Washington, D.C., section #079, 101-014 [7/1/2007: definition changed, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639733801 | Jennifer Samson | Naturopath | 7195 Sw Sagert St Unit 102, Tualatin, OR 97062-8251 | 2019-04-23 |
| 1679025969 | Jennifer Poindexter | Naturopath | 18813 Sw Martinazzi Ave Ste Unit, Tualatin, OR 97062-6807 | 2016-11-02 |
| 1013154053 | Onyria Gillmor | Naturopath | 19365 Sw 65th Ave Ste 209, Tualatin, OR 97062-9196 | 2009-01-13 |
| 1780888305 | Glen Jarosz | Naturopath | 8555 Sw Tualatin Rd, Tualatin, OR 97062-9425 | 2007-06-14 |
| 1851937965 | Jordan Bethany Mclendon | Naturopath | 19365 Sw 65th Ave Ste 209, Tualatin, OR 97062-9196 | 2019-11-24 |
| 1639635246 | Hana Marijke Paterno | Naturopath | 6464 Sw Borland Rd Ste C1, Tualatin, OR 97062-8856 | 2019-02-19 |
| 1427532621 | Brittany Christine Long | Naturopath | 8555 Sw Tualatin Rd Ste B, Tualatin, OR 97062-8614 | 2018-09-24 |
| 1881106722 | Chelsey Patricia Jameson | Naturopath | 19365 Sw 65th Ave Ste 209, Tualatin, OR 97062-9196 | 2017-11-01 |
| 1548632532 | Northwest Integrative Medicine, PC | Naturopath | 19365 Sw 65th Ave, Suite 209, Tualatin, OR 97062-9196 | 2015-10-29 |
| 1285006478 | Ashley Lauren Brauker | Naturopath | 18813 Sw Martinazzi Ave, Tualatin, OR 97062-6807 | 2015-10-27 |
| Find all providers in TUALATIN | ||||
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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.