OrganizationActive
Andria Clark Rdn LLC
NPI 1417806902 · Registered Dietitian · Bend, OR
Provider details
- NPI number
- 1417806902
- Entity type
- Organization
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Andria Clark, Registered Dietitian, Owner(206) 619-1553
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
1900 Ne 3rd St Ste 106
Bend, OR 97701-3889
Phone: (206) 619-1553
Approximate (ZIP-level) locationGet directions
Mailing address
1900 Ne 3rd St Ste 106
Bend, OR 97701-3889
Registry dates
- Enumerated
- 2026-01-27
- Last updated
- 2026-01-27
- Certified
- 2026-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.