Shawna Rebecca Clark
Registered Nurse · North Bend, OR
Practice location
400 Virginia Ave Ste 201North Bend, OR 97459-3444
- Phone
- (541) 751-0357
- Fax
- (541) 751-9985
NPI record
- NPI
- 1174191282
- Entity type
- Individual (Type 1)
- Enumeration date
- June 15, 2021
- Last updated
- June 15, 2021
- Certified
- June 15, 2021
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Registered Nurse Primary | 163W00000X |
200742753RN | CA |
Mailing address
PO Box 1121Roseburg, OR 97470-0254
- Phone
- (541) 672-2691
About Shawna Clark
Shawna Rebecca Clark is a healthcare provider registered in the NPI registry with the primary taxonomy Registered Nurse (code 163W00000X). The practice location is 400 Virginia Ave Ste 201, North Bend, OR 97459-3444. The NPI number 1174191282 was assigned on June 15, 2021 and the record was last updated on June 15, 2021.
Shawna Clark lists a license in the registry: #200742753RN (CA) for Registered Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Shawna Rebecca Clark?
The NPI number is 1174191282.
What is the phone number of Shawna Clark?
The phone number listed for the practice location is (541) 751-0357.
Where is Shawna Clark located?
400 Virginia Ave Ste 201, North Bend, OR 97459-3444.
What is the taxonomy code for Shawna Clark?
The primary taxonomy code is 163W00000X – Registered Nurse.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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