Active NPIOrganization

Andria Clark Rdn LLC

Dietitian, Registered in Bend, Oregon

NPI Number1417806902
Practice location
1900 NE 3RD St Ste 106, Bend, OR 97701-3889
Fax
—
Last updated
January 27, 2026

Andria Clark Rdn LLC is a healthcare organization based in Bend, OR. Andria Clark Rdn LLC practices in Bend, OR. The NPI Number for Andria Clark Rdn LLC is 1417806902. The current practice location address for Andria Clark Rdn LLC is 1900 NE 3RD St Ste 106, Bend, OR 97701-3889 and can be reached out via phone at 206-619-1553.

Provider Profile Details

NPI Number
1417806902
Provider Name
Andria Clark Rdn LLC
Provider Entity Type
Organization
Address
1900 NE 3RD St Ste 106, Bend, OR 97701-3889
Phone Number
206-619-1553
Primary Taxonomy
Dietitian, Registered · 133V00000X
Organization Subpart
No
Authorized Official
Andria M Clark, MS, RDN, LD · Registered Dietitian, Owner · 206-619-1553
Provider Enumeration Date
January 27, 2026
Last Update Date
January 27, 2026
Certification Date
January 21, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1900 NE 3RD St Ste 106
Bend, OR 97701-3889
City
Bend
State
Oregon
Zip
97701-3889
Phone Number
206-619-1553
Bend, OR 97701Get directions →

Provider Business Mailing Address Details

Address
1900 NE 3RD St Ste 106
Bend, OR 97701-3889
City
Bend
State
OR
Zip
97701-3889
Phone Number
206-619-1553

License Information

Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Andria Clark Rdn LLC?

The NPI number of Andria Clark Rdn LLC is 1417806902. It was assigned on January 27, 2026 and is currently active in the NPPES registry.

What is the specialty of Andria Clark Rdn LLC?

Andria Clark Rdn LLC is registered under the primary taxonomy Dietitian, Registered (code 133V00000X).

Where does Andria Clark Rdn LLC practice?

The practice location is 1900 NE 3RD St Ste 106, Bend, OR 97701-3889. The office can be reached at 206-619-1553 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417806902 directly on the NPPES registry website.

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