IndividualActive
Andria Clark, MS, RDN
NPI 1376211797 · Registered Dietitian · Bend, OR
Provider details
- NPI number
- 1376211797
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- MS, RDN
- Sex
- Female
- Sole proprietor
- No
Mailing address
2200 Ne Professional Ct
Bend, OR 97701-6063
Registry dates
- Enumerated
- 2021-08-31
- Last updated
- 2026-03-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.