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Sara Clark
Peer Specialist in Roseburg, Oregon
NPI 1427664630

Sara Clark is a Peer Specialist based in Roseburg, OR. Sara Clark practices in Roseburg, OR. The NPI Number for Sara Clark is 1427664630 and holds a License No. (Oregon).

The current practice location address for Sara Clark is 621 W Madrone St, Roseburg, OR and can be reached out via phone at 541-440-3532 and via fax at 541-440-3554.

Location: 621 W Madrone St, Roseburg, OR, 97470-3090
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427664630
Provider Name
Sara Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
621 W Madrone St, Roseburg, OR, 97470-3090
Phone Number
541-440-3532
Fax Number
541-440-3554
Provider Enumeration Date
09/22/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
621 W Madrone St
City
Roseburg
State
Oregon
Zip
97470-3090
Phone Number
541-440-3532
Fax Number
541-440-3554
person
Provider Business Mailing Address Details
Address
621 W Madrone St
City
Roseburg
State
Oregon
Zip
97470-3090
Phone Number
541-440-3532
Fax Number
541-440-3554
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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