Individual provider · Type 1 NPI

Jamie Nova Clark, PWS

Peer Specialist · Portland, OR

NPI number 1932017522 Active

Practice location

1219 SE Lafayette St Ste 100
Portland, OR 97202-3802

Call (503) 765-5733 Map

Fax (971) 244-8583

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X118189 (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 1932017522

Jamie Nova Clark, PWS's National Provider Identifier is 1932017522, issued on Sep 1, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Portland, OR. The record was last updated on Sep 1, 2026.