Active NPI
Andria Clark RDN LLC
- Registered Dietitian
- Bend, OR
National Provider Identifier
1417806902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- ANDRIA CLARK RDN LLC
- Practice address
- 1900 NE 3Rd St Ste 106
Bend, OR 97701-3889 - Phone
- (206) 619-1553
- NPI assigned
- Jan 27, 2026
- Last updated
- Jan 27, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andria M Clark, MS, RDN, LD
- Title
- Registered Dietitian, Owner
- Phone
- (206) 619-1553
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
1900 NE 3Rd St Ste 106
Bend, OR 97701-3889
Mailing address
1900 NE 3Rd St Ste 106
Bend, OR 97701-3889
Phone (206) 619-1553
National Provider Directory
National Provider DirectoryLocations
1900 NE 3rd St
Ste 106
Bend, OR 97701
Phone (206) 619-1553
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769472000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769472000000",
"number": "1417806902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 NE 3RD ST STE 106",
"city": "BEND",
"state": "OR",
"postal_code": "977013889",
"telephone_number": "206-619-1553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 NE 3RD ST STE 106",
"city": "BEND",
"state": "OR",
"postal_code": "977013889",
"telephone_number": "206-619-1553"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANDRIA CLARK RDN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-27",
"last_updated": "2026-01-27",
"certification_date": "2026-01-21",
"status": "A",
"authorized_official_last_name": "CLARK",
"authorized_official_first_name": "ANDRIA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "REGISTERED DIETITIAN, OWNER",
"authorized_official_telephone_number": "206-619-1553",
"authorized_official_credential": "MS, RDN, LD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.