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Carly Clark, RDH, EP — NPI 1760827356, Portland, OR | NPI Central

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NPI 1760827356

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Carly Clark, RDH, EP

NPI 1760827356 · Advanced Practice Dental Therapist · Portland, OR

Provider details

NPI number: 1760827356
Entity type: Individual
Primary specialty: Advanced Practice Dental TherapistDental Providers
Credential: RDH, EP
Sex: Female
Sole proprietor: Yes
License: H5380 (OR)

Practice location

3324 N Arlington Pl

Portland, OR 97217-7204

Phone: (503) 887-5923

More OR providers

Mailing address

3324 N Arlington Pl

Portland, OR 97217-7204

Registry dates

Enumerated: 2013-05-08
Last updated: 2013-05-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.