Candace Clark, RD, CD, CDE
NPI 1609297431ActiveIndividual· Dietitian, Registered· Longview, WA
Dietitian, Registered (RD, CD, CDE) in Longview, Washington, licensed in WA, with an NPI issued in December 2013. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1609297431 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RD, CD, CDE |
| Sole proprietor | No |
| NPI issued | Dec 20, 2013 |
| Last updated in NPPES | Dec 20, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | DI 60269049 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (WA) |
|---|
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