Dedra Clark
NPI 1164268348 · Massage Therapist · Bend, OR
Dedra Clark is a Massage Therapist provider in Bend, OR (NPI 1164268348).
Provider details
- NPI number
- 1164268348
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 27730 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 61239 Tetherow Dr Ste 208Bend, OR 97702-3734Phone: (541) 393-9648
- 1105 Se Centennial StBend, OR 97702-1343Phone: (541) 848-3181
Registry dates
- Enumerated
- 2024-07-08
- Last updated
- 2024-07-08
- Certified
- 2024-07-01
Frequently asked questions
- What is Dedra Clark's NPI number?
- Dedra Clark's National Provider Identifier (NPI) is 1164268348, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dedra Clark's specialty?
- Dedra Clark is listed in the NPPES registry with a primary specialty of Massage Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Dedra Clark located?
- Dedra Clark's practice location on file with NPPES is 361 Ne Franklin Ave, Bend, OR 97701-4917.
- What is Dedra Clark's phone number?
- The practice phone number listed in the NPPES registry for Dedra Clark is (541) 241-8652.
- Is Dedra Clark's NPI active?
- Yes — Dedra Clark's NPI (1164268348) is active in the NPPES registry as of the last update on 2024-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.