Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JIM R CLARK
NPI 1346156122
Peer Specialist in Salem, OR

Active since August 20, 2026
1144 CENTER ST NE, SALEM, OR 97301(503) 363-2021 Get Directions Write a Review

NPPES record added: August 21, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Jim R Clark NPPES

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

JIM R CLARK (NPI 1346156122) is an individual peer specialist in Salem, Oregon, licensed in Oregon (26-CRM-5704) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1346156122
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameJIM R CLARK
Location Address1144 CENTER ST NESalem, OR 97301-2523
Mailing Address750 Front St NeSalem, OR 97301-1089 · (503) 363-2021
Sole ProprietorYes
Enumeration DateAugust 20, 2026
Last NPPES UpdateAugust 21, 2026
NPPES CertifiedAugust 21, 2026
NPI 1346156122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License Licensed in OR · 26-CRM-5704
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
1144 CENTER ST NE, Salem, OR 97301

Other Providers at the Same Location NPPES 6

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

Counselor (Addiction (Substance Use Disorder))
1144 CENTER ST NE
SALEM, OR 97301
Peer Specialist
1144 CENTER ST NE
SALEM, OR 97301
Peer Specialist
1144 CENTER ST NE
SALEM, OR 97301
Peer Specialist
1144 CENTER ST NE
SALEM, OR 97301
Peer Specialist
1144 CENTER ST NE
SALEM, OR 97301
Peer Specialist
1144 CENTER ST NE
SALEM, OR 97301

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 Jim Clark's NPI number?

The NPI number for Jim Clark is 1346156122. It was assigned to this individual provider in the NPPES registry on August 20, 2026.

Where is Jim Clark located?

Jim Clark practices at 1144 Center St NE, Salem, OR 97301. The listed phone number is (503) 363-2021.

What is Jim Clark's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Jim Clark was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.