Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174191282 Individual Practitioner Female Practitioner

Shawna Rebecca Clark

Registered Nurse • North Bend, OR

Professional Overview & Biography Verified Profile Summary

Shawna Clark is a registered healthcare professional specializing in Registered Nurse in North Bend, OR. Practice services are available at 400 VIRGINIA AVE STE 201 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

400 Virginia Ave Ste 201

North Bend, OR 974593444

Telephone 5417510357
Fax 5417519985
Associated Practice Facility / Clinic
🏢 Adapt Facility NPI 1154502052

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse in North Bend, OR

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

Practicing in North Bend, 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

CMS Verified: 2021-06-15
Registered Nurse Primary Specialty

NUCC Taxonomy Code: 163W00000X

State License CA 200742753RN

(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

40 Associated Practitioners
Theodore Woodruff , CRM

Counselor - Addiction (Substance Use Disorder)

NPI 1003325200
Jon Albright

Counselor - Addiction (Substance Use Disorder)

NPI 1013376235
Roberta Grenier , CADC II

Counselor - Addiction (Substance Use Disorder)

NPI 1013376680

CADCII

Gilbert Almeida

Peer Specialist

NPI 1033847751
Stephanie Mcgary

Counselor - Addiction (Substance Use Disorder)

NPI 1053914416
Maria Wheeler

Peer Specialist

NPI 1114637345

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 15, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location June 15, 2021

Registered at 400 VIRGINIA AVE STE 201, NORTH BEND, OR 974593444 (Tel: 5417510357)

📍
Updated Business Mailing Address June 15, 2021

Registered at PO BOX 1121, ROSEBURG, OR 974700254 (Tel: 5416722691)

👤
Provider Name / Credentials Updated June 15, 2021

Recorded as SHAWNA CLARK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2021

Registered Nurse (License #200742753RN in CA)

🟢
Initial NPI Registration & Enumeration June 15, 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: 1174191282
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2021
Last Update: June 15, 2021
Sole Proprietor: No

Mailing Address

Po Box 1121

Roseburg, OR 974700254

Phone: 5416722691

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.