Candace Clark, RD, CD, CDE

Registered Dietitian · Longview, WA

Individual Active NPI

NPI number 1609297431

Practice location

1615 Delware Street
Longview, WA 98632
Phone
(360) 414-2000

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NPI record

NPI
1609297431
Entity type
Individual (Type 1)
Enumeration date
December 20, 2013
Last updated
December 20, 2013
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Registered Dietitian Primary 133V00000X DI 60269049 WA

Mailing address

1615 Delware Street
P.O. Box 3002
Longview, WA 98632
Phone
(360) 414-2000

About Candace Clark

Candace Clark, RD, CD, CDE is a healthcare provider registered in the NPI registry with the primary taxonomy Registered Dietitian (code 133V00000X). The practice location is 1615 Delware Street, Longview, WA 98632. The NPI number 1609297431 was assigned on December 20, 2013 and the record was last updated on December 20, 2013.

Candace Clark lists a license in the registry: #DI 60269049 (WA) for Registered Dietitian. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Candace Clark, RD, CD, CDE?

The NPI number is 1609297431.

What is the phone number of Candace Clark?

The phone number listed for the practice location is (360) 414-2000.

Where is Candace Clark located?

1615 Delware Street, Longview, WA 98632.

What is the taxonomy code for Candace Clark?

The primary taxonomy code is 133V00000X – Registered Dietitian.

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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