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Susan M Clark
Peer Specialist in Warrenton, Oregon
NPI 1245688258

Susan M Clark is a Peer Specialist based in Warrenton, OR. Susan M Clark practices in Warrenton, OR. The NPI Number for Susan M Clark is 1245688258 and holds a License No. (Oregon).

The current practice location address for Susan M Clark is 326 Se Marlin Ave, Warrenton, OR and can be reached out via phone at 503-325-5722 and via fax at 503-861-2043.

Location: 326 Se Marlin Ave, Warrenton, OR, 97146-9371
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245688258
Provider Name
Susan M Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
326 Se Marlin Ave, Warrenton, OR, 97146-9371
Phone Number
503-325-5722
Fax Number
503-861-2043
Provider Enumeration Date
05/31/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
326 Se Marlin Ave
City
Warrenton
State
Oregon
Zip
97146-9624
Phone Number
503-325-5722
Fax Number
503-861-2043
person
Provider Business Mailing Address Details
Address
326 Se Marlin Ave
City
Warrenton
State
Oregon
Zip
97146-9624
Phone Number
503-325-5722
Fax Number
503-861-2043
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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