Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Katrina A Clark, CRM

Individual provider Peer Specialist · NPI 1730895905

Katrina A Clark, CRM is a Peer Specialist in Bend, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2023

Practice location Address checks out

23 NW Greenwood Ave
Bend, OR 97703-2078
Phone: (541) 383-4293
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 23-CRM-1633 (OR)

Record details

NPI number1730895905
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRM
Sole proprietorYes
NPI enumeratedJanuary 30, 2023
Last updated in NPPESJanuary 30, 2023
Certification dateJanuary 30, 2023

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