Individual provider · Type 1 NPI

Kimberly Clarke

Peer Specialist · Portland, OR

NPI number 1467049494 Active

Practice location

7916 SE Foster Rd Ste 201
Portland, OR 97206-4289

Call (503) 465-2749 Map

Mailing address

PO Box 16576
Portland, OR 97292-0576

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XTHW000002662 (OR)

Peer Specialist: 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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About NPI 1467049494

Kimberly Clarke's National Provider Identifier is 1467049494, issued on Dec 23, 2020. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Portland, OR. The record was last updated on Dec 23, 2020.