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

Laura Anne Pettis-Clark, QMHA-R

Individual provider Case Manager/Care Coordinator · NPI 1174133953

Laura Anne Pettis-Clark, QMHA-R is a Case Manager/Care Coordinator in Clackamas, Oregon. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

12901 SE 97th Ave Ste 340
Clackamas, OR 97015-7903
Phone: (503) 655-8045
Fax: (523) 655-6806
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1174133953
Entity typeIndividual (Type 1)
GenderFemale
Credentials QMHA-R
Sole proprietorNo
NPI enumeratedAugust 5, 2020
Last updated in NPPESAugust 5, 2020
Certification dateAugust 5, 2020

Other providers in Clackamas