Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164268348 Individual Practitioner Female Practitioner

Dedra Clark

Massage Therapist • Bend, OR

Professional Overview & Biography Verified Profile Summary

Dedra Clark is a registered healthcare professional specializing in Massage Therapist in Bend, OR. Practice services are available at 361 NE FRANKLIN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

361 Ne Franklin Ave

Bend, OR 977014917

Telephone 5412418652
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Bend, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
363 Specialists

Practicing in Bend, OR (6180 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-07-01
Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License OR 27730

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Secondary Practice Locations

1105 Se Centennial St

Bend, OR 977021343

Phone: 5418483181

61239 Tetherow Dr Ste 208

Bend, OR 977023734

Phone: 5413939648

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Rebecca Reynolds , LMT

Massage Therapist

NPI 1396699799

Licensed Massage Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2024

Registered at 361 NE FRANKLIN AVE, BEND, OR 977014917 (Tel: 5412418652)

📍
Updated Business Mailing Address July 08, 2024

Registered at 900 NE WARNER PL APT 131, BEND, OR 977014684 (Tel: 5418483181)

👤
Provider Name / Credentials Updated July 08, 2024

Recorded as DEDRA CLARK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2024

Massage Therapist (License #27730 in OR)

🟢
Initial NPI Registration & Enumeration July 08, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164268348
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 08, 2024
Last Update: July 08, 2024
Sole Proprietor: Yes

Mailing Address

900 Ne Warner Pl Apt 131

Bend, OR 977014684

Phone: 5418483181

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.