Individual provider · Type 1 NPI

Michael David Clark, CRM

Peer Specialist · Albany, OR

NPI number 1861209132 Active

Practice location

1305 Hill St SE
Albany, OR 97322-6711

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X24-CRM-3907 (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 1861209132

Michael David Clark, CRM's National Provider Identifier is 1861209132, issued on Dec 11, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Albany, OR. The record was last updated on Dec 11, 2024.