Dr. Heidi Clark

LBN: Dr. Heidi Clark
Dr. Heidi Clark is an health care organization with primary practice located at 12195 Sw Allen Blvd , Beaverton OR 97005-4720. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Acupuncturist, Other Service Providers / Naturopath. Other Service Providers / Naturopath is the primary health care specialty. Dr. Heidi Clark can be contacted via phone (503) 646-0697, or through Clark, Heidi via phone (503) 646-0697.

Contact Information

Primary practice address
12195 Sw Allen Blvd Beaverton OR 97005-4720
Phone: (503) 646-0697
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Clark, Heidi
Phone: (503) 646-0697

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X
Other Service Providers / Naturopath 175F00000X

Profile Details

NPI number 1578819900
LBN Legal business name Dr. Heidi Clark
DBA Doing business as
Authorized official Clark, Heidi
Entity Organization
Organization subpart 1 No
Enumeration date Aug 3rd, 2012
Last updated Aug 3rd, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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