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Carly Rene' Clark, RDH,EP
Advanced Practice Dental Therapist in Portland, Oregon
NPI 1760827356

Carly Rene' Clark is an Advanced Practice Dental Therapist based in Portland, OR. Carly Rene' Clark practices in Portland, OR and has the professional credentials of RDH,EP. The NPI Number for Carly Rene' Clark is 1760827356 and holds a License No. H5380 (Oregon).

The current practice location address for Carly Rene' Clark is 3324 N Arlington Pl, Portland, OR and can be reached out via phone at 503-887-5923. You can also correspond with Carly Rene' Clark through the mailing address at 3324 N ARLINGTON PL, PORTLAND, OR - 97217-7204 (mailing address contact number: 503-887-5923).

Location: 3324 N Arlington Pl, Portland, OR, 97217-7204
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760827356
Provider Name
Carly Rene' Clark
Credential
RDH,EP
Provider Entity Type
Individual
Gender
Female
Address
3324 N Arlington Pl, Portland, OR, 97217-7204
Phone Number
503-887-5923
Fax Number
Provider Enumeration Date
05/08/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3324 N Arlington Pl
City
Portland
State
Oregon
Zip
97217-7204
Phone Number
503-887-5923
Fax Number
person
Provider Business Mailing Address Details
Address
3324 N Arlington Pl
City
Portland
State
Oregon
Zip
97217-7204
Phone Number
503-887-5923
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Advanced Practice Dental Therapist
Speciality
-
Taxonomy
125K00000X
License No.
H5380 (Oregon)
Definition
An Advanced Practice Dental Therapist is:<br/>(1) A dental therapist who has completed additional training beyond basic dental therapy education and provides dental services in accordance with state advanced practice dental therapist laws or statutes; or<br/>(2) A dental hygienist with a graduate degree in advanced dental therapy prepared for independent and interdependent decision making and direct accountability for clinical judgment across the dental health care continuum.<br/>The individual has been authorized by the relevant state board or a tribal entity to provide services under the remote supervision of a dentist. The functions of the advanced practice dental therapist vary based on the needs of the dentist, the educational preparation of the advanced practice dental therapist and state dental practice acts and regulations.
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