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KATRINA A CLARK CRM
NPI 1730895905
Peer Specialist in Bend, OR

Active since January 30, 2023
23 NW GREENWOOD AVE, BEND, OR 97703(541) 383-4293 Get Directions Write a Review

NPPES record last updated: January 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Katrina A Clark Crm NPPES

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

KATRINA A CLARK CRM (NPI 1730895905) is an individual peer specialist in Bend, Oregon, licensed in Oregon (23-CRM-1633) and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1730895905
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameKATRINA A CLARKCredential: CRM
Location Address23 NW GREENWOOD AVEBend, OR 97703-2078
Mailing Address23 Nw Greenwood AveBend, OR 97703-2078
Phone(541) 383-4293
Sole ProprietorYes
Enumeration DateJanuary 30, 2023
NPPES CertifiedJanuary 30, 2023
✔ NPI 1730895905 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 · 23-CRM-1633
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.
23 NW GREENWOOD AVE, Bend, OR 97703
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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.

RYAN HUTCHINSON
Counselor (Addiction (Substance Use Disorder))
23 NW GREENWOOD AVE
BEND, OR 97703
Deschutes County (541) 383-4293
BREYN M HIBBS CRM
Peer Specialist
23 NW GREENWOOD AVE
BEND, OR 97703
Deschutes County (541) 383-4293
WILLIAM DANIEL SHERFIELD CRM
Peer Specialist
23 NW GREENWOOD AVE
BEND, OR 97703
Deschutes County (541) 383-4293
CORA LESSETTE VOGEL CADC R
Counselor (Addiction (Substance Use Disorder))
23 NW GREENWOOD AVE
BEND, OR 97703
Deschutes County (541) 383-4293
KAYLA LYNN MILLER CRM
Peer Specialist
23 NW GREENWOOD AVE
BEND, OR 97703
Deschutes County (541) 383-4293
HEATHER SAUCEDO CADC II
Counselor (Addiction (Substance Use Disorder))
23 NW GREENWOOD AVE
BEND, OR 97703
Deschutes County (541) 383-4293
DEBORAH BURRIS
Counselor (Addiction (Substance Use Disorder))
23 NW GREENWOOD AVE
BEND, OR 97703
Deschutes County (541) 383-4293
JESSICA KAMERI HEMING CRM
Peer Specialist
23 NW GREENWOOD AVE
BEND, OR 97703
Deschutes County (541) 383-4293

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 Katrina Clark's NPI number?

The NPI number for Katrina Clark is 1730895905. It was assigned to this individual provider in the NPPES registry on January 30, 2023.

Where is Katrina Clark located?

Katrina Clark practices at 23 NW Greenwood Ave, Bend, OR 97703. The listed phone number is (541) 383-4293.

What is Katrina 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 Katrina Clark was last updated on January 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.