Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dedra Clark

Individual provider Massage Therapist · NPI 1164268348

Dedra Clark is a Massage Therapist in Bend, Oregon. Practices as a sole proprietor and works from 3 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2024
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Practice location Address checks out

361 NE Franklin Ave
Bend, OR 97701-4917
Phone: (541) 241-8652
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 61239 Tetherow Dr Ste 208, Bend, OR 97702-3734 — (541) 393-9648
  • 1105 Se Centennial St, Bend, OR 97702-1343 — (541) 848-3181

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 27730 (OR)

Record details

NPI number1164268348
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 8, 2024
Last updated in NPPESJuly 8, 2024
Certification dateJuly 1, 2024
Mailing address900 Ne Warner Pl Apt 131, Bend, OR 97701-4684

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