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Individual
DR. CHRISTINA RAE CLARK
Active
Individual
DR. CHRISTINA RAE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC. MSOM, DIPL.OM
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
205587
OR
171100000X
Acupuncturist
99088
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
205587
OREGON STATE ACUPUNCTURE LICENSE
OR
01
—
221
STATE LICENSE
MT
01
—
99088
MONTANA STATE ACUPUNCTURE LICENSE
MT
Enumeration date
07/17/2007
Last updated
04/20/2026
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