Dr Christina Rae Clark, LAC MSOM, DIPLOM - Acupuncturist in Bend, OR

Dr Christina Rae Clark, LAC MSOM, DIPLOM is a Acupuncturist based in Bend, Oregon. Dr Christina Rae Clark is licensed to practice in Oregon (license number 205587) and her current practice location is 911 Ne 4th St Ste 2, Bend, Oregon. She can be reached at her office (for appointments etc.) via phone at (541) 961-7947.

NPI number for Dr Christina Rae Clark is 1922207125 and her current mailing address is 19926 Porcupine Dr, Bend, Oregon. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1922207125.

Contact Information

Dr Christina Rae Clark, LAC MSOM, DIPLOM
911 Ne 4th St Ste 2,
Bend, OR 97701-4647
(541) 961-7947
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Christina Rae Clark
GenderFemale
SpecialityAcupuncturist
Location911 Ne 4th St Ste 2, Bend, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1922207125
  • Provider Enumeration Date: 07/17/2007
  • Last Update Date: 10/04/2021

Medical Identifiers

Medical identifiers for Dr Christina Rae Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922207125NPI-NPPES
99088OtherMTMONTANA STATE ACUPUNCTURE LICENSE
205587OtherOROREGON STATE ACUPUNCTURE LICENSE
221OtherMTSTATE LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
171100000XAcupuncturist 99088 (Montana)Secondary
171100000XAcupuncturist 205587 (Oregon)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Christina Rae Clark is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Christina Rae Clark, LAC MSOM, DIPLOM
19926 Porcupine Dr,
Bend, OR 97702-2090

Ph: (541) 961-7947
Dr Christina Rae Clark, LAC MSOM, DIPLOM
911 Ne 4th St Ste 2,
Bend, OR 97701-4647

Ph: (541) 961-7947

Reviews and Comments


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