person
Mandy Clark
Addiction (Substance Use Disorder) Counselor in Portland, Oregon
NPI 1316144389

Mandy Clark is an Addiction (Substance Use Disorder) Counselor based in Portland, OR and is specialized in Addiction (Substance Use Disorder). Mandy Clark practices in Portland, OR. The NPI Number for Mandy Clark is 1316144389 and holds a License No. (Oregon).

The current practice location address for Mandy Clark is 1030 Ne Couch St., Portland, OR and can be reached out via phone at 503-239-8400 and via fax at 503-239-8407.

Location: 1030 Ne Couch St., Portland, OR, 97214
person
Provider Profile Details
NPI Number
1316144389
Provider Name
Mandy Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
1030 Ne Couch St., Portland, OR, 97214
Phone Number
503-239-8400
Fax Number
503-239-8407
Provider Enumeration Date
07/02/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1030 Ne Couch St.
City
State
Zip
97232
Phone Number
503-239-8400
Fax Number
503-239-8407
person
Provider Business Mailing Address Details
Address
1030 Ne Couch St.
City
State
Zip
97232
Phone Number
503-239-8400
Fax Number
503-239-8407
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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