Dionne Marie Clark, CPC, AAC

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

9105 NE Highway 99 Ste 201a
Vancouver, WA 98665-8974

Phone

(360) 932-5390

Fax

(360) 597-9722

NPI assigned

Sep 22, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1506038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1225547151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9105 NE HIGHWAY 99 STE 201A",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658974",
            "telephone_number": "360-932-5390",
            "fax_number": "360-597-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9105 NE HIGHWAY 99 STE 201A",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658974",
            "telephone_number": "360-932-5390",
            "fax_number": "360-597-9722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "DIONNE",
        "middle_name": "MARIE",
        "credential": "CPC, AAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clark County Dental & Denture Clinic
• April Clark
• Ashlie Lynn Clark
• Calvin Clayton Clark, M.D.
• Deirdre Lynn Clark
• Finn Clark
• Graham Scott Clark, MD
• Harold Christopher Clark II
• Jeffrey M Clark, PA-C
• Kathryn Clark, AAC

• Peer Specialist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Peer Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.