# DR. CHRISTINA RAE CLARK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1922207125
- **Gender:** F
- **Credential:** L.AC. MSOM, DIPL.OM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | 205587 | OR | Yes |
| 171100000X | Acupuncturist | 99088 | MT | — |

## Other

- **Enumeration date:** 07/17/2007
- **Last updated:** 04/20/2026

## 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 |