Active NPIIndividual providerSole proprietor

Heidi Clark, ND, LAC

Acupuncturist in Beaverton, Oregon

NPI Number1730456427
Practice location
4530 SW Hall Blvd, Beaverton, OR 97005-0504
Fax
—
Last updated
May 7, 2014

Heidi Clark, ND, LAC is a Acupuncturist based in Beaverton, OR. Heidi Clark, ND, LAC holds the professional credentials of ND, LAC. The NPI number for Heidi Clark, ND, LAC is 1730456427 and holds license No. AC156029 (OR). The current practice location address is 4530 SW Hall Blvd, Beaverton, OR 97005-0504 and the office can be reached by phone at 503-644-6555. The NPI was assigned on November 23, 2011 and the record was last updated in NPPES on May 7, 2014.

●Provider Profile Details

NPI Number
1730456427
Provider Name
Heidi Clark
Credential
ND, LAC
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Acupuncturist · 171100000X
Sole Proprietor
Yes
Enumeration Date
November 23, 2011
Last Update Date
May 7, 2014
NPI Status
Active

◉Business Practice Location Address

Address
4530 SW Hall Blvd
Beaverton, OR 97005-0504
State
Oregon
ZIP
97005-0504
Country
US
Phone Number
503-644-6555

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✉Business Mailing Address

Address
4530 SW Hall Blvd
Beaverton, OR 97005-0504
City
Beaverton
State
OR
ZIP
97005-0504
Phone Number
503-644-6555

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Acupuncturist171100000XYesAC156029OR

#Other Provider Identifiers

No legacy or other 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 Heidi Clark, ND, LAC?

The NPI number of Heidi Clark, ND, LAC is 1730456427. It was assigned on November 23, 2011 and is currently active in the NPPES registry.

What is the specialty of Heidi Clark, ND, LAC?

Heidi Clark, ND, LAC is registered under the primary taxonomy Acupuncturist (code 171100000X) and holds license No. AC156029 (OR).

Where does Heidi Clark, ND, LAC practice?

The practice location is 4530 SW Hall Blvd, Beaverton, OR 97005-0504. The office can be reached at 503-644-6555 (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 1730456427 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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