KIMBERLY MICHELLE CLARK (NPI# 1902362452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902362452 |
| Entity Type | Individual |
| Full Name | KIMBERLY MICHELLE CLARK |
| Credential | RBT |
| Practice Address |
2819 Se Brodiaea Ct Hillsboro OR 97123-5201 |
| Mailing Address |
16800 Dallas Pkwy Ste 200 Dallas TX 75248-1961 |
| Practice Telephone | 3607715738 |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2019-12-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | RBT--19-77656 | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | OREGON HEALTH LICENSING | ABA-IN-10203849 | 01 |
| BACB | RBT-19-77656 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14828 Serenita Avenue, Oklahoma City, OK 73134 | 4058397500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780037994 | Kimberly Clark | Nurse Practitioner | 11251 Westwood Ave, Denham Springs, LA 70726-6947 | 2016-07-22 |
| 1053651869 | Kimberly Gail Clark | Hearing Instrument Specialist | 401 Apperson Dr, Salem, VA 24153-7026 | 2013-02-15 |
| 1952660524 | Kimberly Jo Clark | Licensed Practical Nurse | 334 Elmwood Ave, Barberton, OH 44203-1153 | 2012-05-16 |
| 1336421999 | Kimberly D Clark | Speech-Language Pathologist | 1524 Lexington Road, Clovis, NM 88101-6846 | 2011-09-09 |
| 1376878595 | Kimberly Clark | Physical Therapist | 101 S Kraemer Blvd Ste 125, Placentia, CA 92870-6100 | 2009-10-06 |
| 1609050913 | Kimberly Irene Clark | Counselor | 3077 Coolidge Ave, Costa Mesa, CA 92626-2809 | 2007-12-21 |
| 1053591875 | Kimberly Ann Clark | Counselor | 1516 S Boston Ave, Suite 100, Tulsa, OK 74119-4003 | 2007-11-08 |
| 1841400868 | Kimberly Clark | Social Worker | 4350 Woodland Ave, Jackson, MS 39206-3955 | 2007-05-22 |
| 1902900293 | Kimberly A Clark | Physical Therapist | 614 Monkton Rd, Bristol, VT 05443-5392 | 2006-09-08 |
| 1114996931 | Kimberly Sue Clark | Licensed Practical Nurse | 4563 S Ridge Rd E, Geneva, OH 44041-7310 | 2006-03-15 |
| Street Address |
2819 SE BRODIAEA CT |
| City | HILLSBORO |
| State | OR |
| Zip Code | 97123-5201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851916241 | Gabriel Lawrence | Physical Therapist | 2973 Se 79th Ave., Hillsboro, OR 97123 | 2020-06-11 |
| 1487278453 | Jordan Gregory Evans | Student in an Organized Health Care Education/Training Program | Creighton Hall 222 Se 8th Ave, Hillsboro, OR 97123 | 2020-06-04 |
| 1124641006 | Jessica Anne Bramlett | Student in an Organized Health Care Education/Training Program | 228 Southeast 8th Avenue, Suite 536, Hillsboro, OR 97123 | 2020-05-26 |
| 1003448168 | Madelyn Vogt | Community Health Worker | 862 Se Oak Street, Suite 2a, Hillsboro, OR 97123 | 2020-02-06 |
| 1215435789 | Renise Harrel | Massage Therapist | 4855 Se Tv Hwy, Suite B, Hillsboro, OR 97123 | 2018-01-30 |
| 1497260269 | Amy Hodges | Counselor | 222 Se 8th Ave # 212, Hillsboro, OR 97123 | 2017-12-02 |
| 1033623723 | Tamira L Heyob | Doula | 25600 Sw Bald Peak Rd., Hillsboro, OR 97123 | 2017-11-17 |
| 1134644024 | Tara Kyoko Taylor | Massage Therapist | 5289 Ne Elam Young Pkwy #130, Hillsboro, OR 97123 | 2017-08-11 |
| 1023543055 | Austin Simpson | Counselor | 222 Se 8th, Suite 222, Hillsboro, OR 97123 | 2017-04-27 |
| 1124569769 | Emergency Tooth Doctor Hillsboro, Prof. Corp. | Dentist | 752 Se Oak St, Hillsboro, OR 97123 | 2017-03-15 |
| Find all providers in zip 97123 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386098515 | Tiffany Johnson | Technician, Other | 503 Ne 2nd Ave, Hillsboro, OR 97124-3015 | 2016-04-13 |
| 1821392069 | Deanna Marie Twenge | Technician, Other | 21600 Sw Finnigan Hill Rd, Hillsboro, OR 97123-8718 | 2011-01-03 |
| 1457626509 | Kimberly Mcswain | Technician, Other | 545 Se Oak St, Suite A, Hillsboro, OR 97123-4147 | 2012-03-21 |
| 1548535875 | Dixie Jean Stoutt | Technician, Other | 545 Se Oak St Ste A, Hillsboro, OR 97123-4147 | 2012-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528604261 | Christina Marie Demulling | Technician, Other | 8855 Sw Holly Ln Ste 104, Wilsonville, OR 97070-8792 | 2019-11-18 |
| 1225682651 | Michelle L Underhill | Technician, Other | 15295 Sw Obsidian St, Beaverton, OR 97007-8949 | 2019-07-24 |
| 1730655382 | Kim Phyllis Robbins | Technician, Other | 801 Wood Ln, Clatskanie, OR 97016-2158 | 2018-10-22 |
| 1104318898 | Megan Gerding | Technician, Other | 996 Nw Circle Blvd Suite 103, Corvallis, OR 97330 | 2018-05-30 |
| 1174025779 | Ghayda Aboasha | Technician, Other | 4949 Sw Macadam Ave # 30, Portland, OR 97239-3912 | 2018-02-28 |
| 1215439807 | Christopher Allen Lane | Technician, Other | 4949 Sw Macadam Ave Ste 30, Portland, OR 97239-3912 | 2018-02-28 |
| 1932617149 | Haley Ann Moore | Technician, Other | 4949 Sw Macadam Ave, Portland, OR 97239-3912 | 2018-01-22 |
| 1538606843 | Madison Wells | Technician, Other | 8072 Pudding Creek Dr Se, Salem, OR 97317-8909 | 2017-01-24 |
| 1285171736 | Howard Mitchell | Technician, Other | 1110 Sw Clay Street Apt. 34, Portland, OR 97201 | 2017-01-23 |
| 1699218529 | Jesse Enrique Mata | Technician, Other | 7585 Nw Mountain View Dr, Corvallis, OR 97330-9751 | 2016-11-25 |
| 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.