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SARA CLARK
NPI 1427664630
Peer Specialist in Roseburg, OR

Active since September 22, 2020
621 W MADRONE ST, ROSEBURG, OR 97470(541) 440-3532(541) 440-3554 Get Directions Write a Review

NPPES record last updated: September 22, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Sara Clark NPPES

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

SARA CLARK (NPI 1427664630) is an individual peer specialist in Roseburg, Oregon and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1427664630
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameSARA CLARK
Location Address621 W MADRONE STRoseburg, OR 97470-3090
Mailing Address621 W Madrone StRoseburg, OR 97470-3090 · (541) 440-3532 · Fax (541) 440-3554
Phone(541) 440-3532
Fax(541) 440-3554
Sole ProprietorNo
Enumeration DateSeptember 22, 2020
NPPES CertifiedSeptember 22, 2020
✔ NPI 1427664630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
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.
621 W MADRONE ST, Roseburg, OR 97470
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Other Providers at the Same Location NPPES 20

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

WILLIAM F SHOBE JR. LMFT
Marriage & Family Therapist
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 492-4550
HEATHER IRENE JOHNSON MSW
Social Worker
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 440-3532
URIAH HEATH YRAGUEN
Peer Specialist
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 672-2691
MR. DALE EDWARD WILLIAMS MC, LPC
Counselor (Mental Health)
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 440-3532
EMILY TUCKER LPC NCC
Counselor (Professional)
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 672-2691
INGER C BOYD MA ED., BS
Counselor
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 440-3532
MAE L HOOPES
Counselor (Addiction (Substance Use Disorder))
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 672-2691
JENNIFER DIANE LOWRY
Counselor (Mental Health)
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 440-3532

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 Sara Clark's NPI number?

The NPI number for Sara Clark is 1427664630. It was assigned to this individual provider in the NPPES registry on September 22, 2020.

Where is Sara Clark located?

Sara Clark practices at 621 W Madrone St, Roseburg, OR 97470. The listed phone number is (541) 440-3532.

What is Sara 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 Sara Clark was last updated on September 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.