Individual provider · Type 1 NPI

Clark Miner, BS, CADC2, QMHA2

Addiction (Substance Use Disorder) Counselor · Milwaukie, OR

NPI number 1073011847 Active

Practice location

10600 SE Mcloughlin Blvd Ste 207
Milwaukie, OR 97222-7428

Call (855) 770-0577 Map

Fax (503) 654-1852

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X16-01-07 (OR)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X21-11-20118 (OR)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1073011847

Clark Miner, BS, CADC2, QMHA2's National Provider Identifier is 1073011847, issued on Jan 26, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Milwaukie, OR. The record was last updated on Apr 21, 2026.