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

Mr. Michael David Clark, CRM

Individual provider Peer Specialist · NPI 1861209132

Mr. Michael David Clark, CRM is a Peer Specialist in Albany, Oregon. Licensed in Oregon. Registered with an NPI since 2024.

Licensed in
OR
In the registry since
2024

Practice location Address checks out

1305 Hill St SE
Albany, OR 97322-6711
Phone: (541) 990-6946
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 24-CRM-3907 (OR)

Record details

NPI number1861209132
Entity typeIndividual (Type 1)
GenderMale
Credentials CRM
Sole proprietorNo
NPI enumeratedDecember 11, 2024
Last updated in NPPESDecember 11, 2024
Certification dateDecember 11, 2024
Mailing address1305 Hill St Se, Albany, OR 97322-6711

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