Dr. Heidi Clark

Primary specialty

NaturopathTaxonomy code 175F00000X

Legal business name

DR. HEIDI CLARK

Practice address

12195 SW Allen Blvd
Beaverton, OR 97005-4720

Phone

(503) 646-0697

NPI assigned

Aug 3, 2012

Organization subpart

No

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

Authorized official

Name

Heidi Clark

Title

Owner

Phone

(503) 646-0697

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• George Maxwell Jr., DC

  • Chiropractor
  • Beaverton, OR
  • NPI 1639200470
  NPD (past)
• Cathryn Luanne Selchow, N.D., D.C.

  • Naturopath
  • Portland, OR
  • NPI 1619116001
  NPD (past)

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

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343952000000",
    "number": "1578819900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12195 SW ALLEN BLVD",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970054720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12195 SW ALLEN BLVD",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970054720",
            "telephone_number": "503-646-0697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. HEIDI CLARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-03",
        "last_updated": "2012-08-03",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-646-0697"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr Hilary Sandell ND Lac LLC
• Dr Joseph Neron & Associates, Inc
• Dr Katie Evans Inc
• Dr Leif J S Choi PC
• Dr Spencer L Griffith LLC
• Dr. Laura Renteria, PC
• Dragonheart Acupuncture
• Micheal Draheim, PMHNP-BC
• Corina Ligia Drambarean, RN
• Elena Drapala, LMT

• Naturopath in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Naturopath in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; 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.