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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

LISA ANN CLARK
NPI 1043137961
Counselor - Addiction (Substance Use Disorder) in Port Angeles, WA

Active since July 01, 2026
716 S CHASE ST, PORT ANGELES, WA 98362(306) 203-6997 Get Directions Write a Review

NPPES record added: July 1, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lisa Ann Clark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA ANN CLARK (NPI 1043137961) is an individual addiction (substance use disorder) provider in Port Angeles, Washington, licensed in Washington (CO61519991) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1043137961
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameLISA ANN CLARK
Location Address716 S CHASE STPort Angeles, WA 98362-6122
Mailing Address2605 Calawah WayForks, WA 98331-9712 · (360) 203-6997
Phone(306) 203-6997
Sole ProprietorYes
Enumeration DateJuly 1, 2026
NPPES CertifiedJuly 1, 2026
✔ NPI 1043137961 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WA · CO61519991
716 S CHASE ST, Port Angeles, WA 98362
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARNIE CORRINE WOODSON LPN
Licensed Practical Nurse
716 S CHASE ST
PORT ANGELES, WA 98362
Clallam County (360) 395-2976
LINDA GALE WEED
Counselor (Addiction (Substance Use Disorder))
716 S CHASE ST
PORT ANGELES, WA 98362
Clallam County (360) 395-2976
ESTENE LYMAN SUDPT
Counselor (Addiction (Substance Use Disorder))
716 S CHASE ST
PORT ANGELES, WA 98362
Clallam County (360) 395-2976
JENNIFER JONES
Nurse's Aide
716 S CHASE ST
PORT ANGELES, WA 98362
Clallam County (360) 395-2976
JESSICA MARIE BAMBURG
Counselor (Addiction (Substance Use Disorder))
716 S CHASE ST
PORT ANGELES, WA 98362
Clallam County (360) 395-2976
MRS. EILENE LAREE RICKENBACHER SUDPT
Counselor (Addiction (Substance Use Disorder))
716 S CHASE ST
PORT ANGELES, WA 98362
Clallam County (360) 395-2976
BAART BEHAVIORAL HEALTH SERVICES, INC.
Clinic/Center (Rehabilitation, Substance Use Disorder)
716 S CHASE ST
PORT ANGELES, WA 98362
Clallam County (360) 395-2976
MR. ROBERT HERNANDEZ HALEY JR.
Counselor (Addiction (Substance Use Disorder))
716 S CHASE ST
PORT ANGELES, WA 98362
Clallam County (360) 203-6997

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Clark's NPI number?

The NPI number for Lisa Clark is 1043137961. It was assigned to this individual provider in the NPPES registry on July 1, 2026.

Where is Lisa Clark located?

Lisa Clark practices at 716 S Chase St, Port Angeles, WA 98362. The listed phone number is (306) 203-6997.

What is Lisa Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Lisa Clark was last updated on July 1, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.