Larry Dale Clark
Larry Dale Clark is a Case Manager/Care Coordinator in Roseburg, Oregon. Licensed in Oregon. Registered with an NPI since 2020.
- Licensed in
- OR
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
621 W Madrone StRoseburg, OR 97470-3090
Phone: (541) 440-3532
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Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X (OR) |
Record details
| NPI number | 1144849589 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 15, 2020 |
| Last updated in NPPES | September 30, 2025 |
| Certification date | September 30, 2025 |
| Mailing address | 621 W Madrone St, Roseburg, OR 97470-3090 |
Other providers in Roseburg
-
Jessica I Bull
548 SE Jackson St, Roseburg, OR 97470-4983 · (541) 440-3532
-
Kari Carey
3005 NE Diamond Lake Blvd, Roseburg, OR 97470-3609 · (541) 672-2691
-
Sarah Carpenter Brink
621 W Madrone St, Roseburg, OR 97470-3090 · (541) 440-3532
-
Jen Marie Caudill
621 W Madrone St, Roseburg, OR 97470-3090 · (541) 440-3532
-
Christen Coady
2570 NW Edenbower Blvd Ste 100, Roseburg, OR 97471-6214 · (541) 677-7200
-
Tina Marie Conklin
3099 NE Diamond Lake Blvd, Roseburg, OR 97470-3655 · (541) 673-3469
-
Lisa Cook
621 W Madrone St, Roseburg, OR 97470-3090 · (541) 492-0241
-
Amy Cox
621 W Madrone St, Roseburg, OR 97470-3090 · (541) 492-0241