Jacinda Clark, RN

Primary specialty

Emergency Registered NurseTaxonomy code 163WE0003X

License

201403713RN Issued in OR

Practice address

610 NW 11TH St
Hermiston, OR 97838-6601

Phone

(541) 667-3533

NPI assigned

Mar 1, 2025

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 1, 2025.

{
    "created_epoch": "1740787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740787200000",
    "number": "1346047966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78767 N LOOP RD",
            "city": "STANFIELD",
            "state": "OR",
            "postal_code": "978754570",
            "telephone_number": "509-774-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 NW 11TH ST",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978386601",
            "telephone_number": "541-667-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "JACINDA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-01",
        "last_updated": "2025-03-01",
        "certification_date": "2025-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "OR",
            "license": "201403713RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Childress, PHARM.D.
• Ashley Rae Christensen, ARNP
• Devin L Christensen, MASSAGE THERAPIST
• Ryla Ellen Christianson
• Debra A. Christy, LPC, LMFT
• Claydavisstroud - Oregon, LLC
• Clear Chiropractic Solutions Inc
• Kristine M Clements, ARNP
• Paul Coffel, OTR/L
• Becky A. Collier, O.D.

• All providers in Hermiston, OR
• Emergency Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2025; 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.