Andria Marie Clark, MS, RDN
Dietitian, Registered in Bend, OR. Individual provider (NPI-1).
NPI number1376211797
StatusActive
Last updated in NPPESMar 30, 2026
Details
- NPI
- 1376211797
- Entity type
- Individual (NPI-1)
- Name
- Andria Marie Clark
- Credential
- MS, RDN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 31, 2021
- Certification date
- Mar 30, 2026
- Last updated
- Mar 30, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | – | – | Yes |
Practice location
2200 Ne Professional CtBend, OR 97701-6063
Phone 541-389-6313
Mailing address
2200 Ne Professional CtBend, OR 97701-6063
Phone 541-389-6313
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All 63 Registered Dietitian providers in Bend · All 6,654 providers in Bend
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