Sydney Clark
Sydney Clark is a Peer Specialist in Grand Ronde, Oregon. Licensed in Oregon. Registered with an NPI since 2023.
- Licensed in
- OR
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
9615 Grand Ronde RdGrand Ronde, OR 97347-9712
Phone: (503) 879-2297
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence T-23-2489 (OR) |
|---|---|
| Peer Specialist | Taxonomy 175T00000X · Licence 108162 (OR) |
Record details
| NPI number | 1093410060 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 31, 2023 |
| Last updated in NPPES | July 24, 2024 |
| Certification date | July 24, 2024 |
| Mailing address | 9615 Grand Ronde Rd, Grand Ronde, OR 97347-9712 |
Other providers in Grand Ronde
-
Joseph Shane Cox
9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 · (503) 879-2060
-
Shelly Rae Fox
9615 Grand Ronde Rd, Grand Ronde, OR 97347-9712 · (503) 879-2002
-
Michael Henry, PWS
9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 · (503) 879-2060
-
Melinda Darlene Mathews, CRM
9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 · (503) 879-2026