Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1609297431 Individual Practitioner Female Practitioner

Candace Clark , RD, CD, CDE

Dietitian, Registered • Longview, WA

Professional Overview & Biography Verified Profile Summary

Candace Clark, RD, CD, CDE is a registered healthcare professional specializing in Dietitian, Registered in Longview, WA. Practice services are available at 1615 DELWARE STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1615 Delware Street

Longview, WA 98632

Telephone 3604142000
Associated Practice Facility / Clinic
🏢 Peacehealth Facility NPI 1073510277

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Longview, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
26 Specialists

Practicing in Longview, WA (2154 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

Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License WA DI 60269049

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Peter Leyzac , CRNA

Nurse Anesthetist, Certified Registered

NPI 1033451968

Certified Registered Nurse Anesthetist

NPI 1033468376

Doctor of Pharmacy (Pharm.D.)

Donna Lynds , ARNP-C

Nurse Practitioner - Family

NPI 1043549488

ARNPC

NPI 1043567969
Sarah Wilber , PA-C

Physician Assistant

NPI 1053133199

Physician Assistant (Certified)

Dr. Ryan Strilaeff , MD

Radiology - Vascular & Interventional Radiology

NPI 1093193492

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 20, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location December 20, 2013

Registered at 1615 DELWARE STREET, LONGVIEW, WA 98632 (Tel: 3604142000)

📍
Updated Business Mailing Address December 20, 2013

Registered at 1615 DELWARE STREET, P.O. BOX 3002, LONGVIEW, WA 98632 (Tel: 3604142000)

👤
Provider Name / Credentials Updated December 20, 2013

Recorded as CANDACE CLARK, RD, CD, CDE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 20, 2013

Dietitian, Registered (License #DI 60269049 in WA)

🟢
Initial NPI Registration & Enumeration December 20, 2013

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: 1609297431
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 20, 2013
Last Update: December 20, 2013
Sole Proprietor: No

Mailing Address

1615 Delware Street, P.o. Box 3002

Longview, WA 98632

Phone: 3604142000

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.