Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1679153670 Deactivated / Inactive NPI Female Practitioner

Leslie Dawn Clark , RN

Registered Nurse • Grants Pass, OR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Leslie Clark has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 13, 2021
NPI Deactivation Date May 01, 2023
Total Practice Duration ~2 Years of Practice (2021 – 2023)

Professional Overview & Biography Verified Profile Summary

Leslie Clark, RN was a registered Registered Nurse practicing in Grants Pass, OR. Throughout an active medical career spanning 2 years, Leslie Clark provided care at the practice location at 1642 WILLIAMS HWY until profile deactivation on 2023-05-01.

Practice Location & Contact Primary Location

Practice Address

1642 Williams Hwy

Grants Pass, OR 975275660

Telephone 5414796698
Associated Practice Facility / Clinic
🏢 Oregon Cvs Pharmacy Llc Facility NPI 1295844587

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse in Grants Pass, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
40 Specialists

Practicing in Grants Pass, OR (2515 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

Registered Nurse Primary Specialty

NUCC Taxonomy Code: 163W00000X

State License OR 092000314RN

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Practice Associates & Co-Workers

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

4 Associated Practitioners
NPI 1073807269

Registered Pharmacist

NPI 1316618671

Registered Pharmacist, Doctor of Pharmacy (Pharm.D.)

Mary Nguyen

Pharmacist

NPI 1669023404
Shelbey Bath

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1689045874

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated May 01, 2023

Record deactivated on May 01, 2023

NPI Profile Active April 13, 2021

NPI status registered as active in NPPES database

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Updated Practice Location April 13, 2021

Registered at 1642 WILLIAMS HWY, GRANTS PASS, OR 975275660 (Tel: 5414796698)

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Updated Business Mailing Address April 13, 2021

Registered at 560 NE F ST STE A133, GRANTS PASS, OR 975262300 (Tel: 5039979978)

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Provider Name / Credentials Updated April 13, 2021

Recorded as LESLIE CLARK, RN

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 13, 2021

Registered Nurse (License #092000314RN in OR)

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Initial NPI Registration & Enumeration April 13, 2021

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: 1679153670
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 13, 2021
Last Update: April 13, 2021
Deactivation Date: May 01, 2023

Mailing Address

560 Ne F St Ste A133

Grants Pass, OR 975262300

Phone: 5039979978

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.