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MR. GEORGE WESLEY CLARK CRM
NPI 1750927075
Peer Specialist in Klamath Falls, OR

Active since November 21, 2019
3647 HIGHWAY 39, KLAMATH FALLS, OR 97603(541) 884-5244 Get Directions Write a Review

NPPES record last updated: October 12, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 12, 2020, Sep 28, 2020, Sep 25, 2020 and 1 more (4 updates tracked since 2019).

About Mr. George Wesley Clark Crm NPPES

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

MR. GEORGE WESLEY CLARK CRM (NPI 1750927075) is an individual peer specialist in Klamath Falls, Oregon and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1750927075
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMR. GEORGE WESLEY CLARKCredential: CRM
Location Address3647 HIGHWAY 39Klamath Falls, OR 97603-2612
Mailing Address3647 Highway 39Klamath Falls, OR 97603-2612 · (541) 884-5244
Phone(541) 884-5244
Sole ProprietorNo
Enumeration DateNovember 21, 2019
Last NPPES UpdateOctober 12, 20204 updates tracked since enumeration
NPPES CertifiedOctober 12, 2020
✔ NPI 1750927075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedTechnician, OtherTaxonomy 247200000X
Also ListedTechnicianTaxonomy 374700000X
3647 HIGHWAY 39, Klamath Falls, OR 97603
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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.

DAWN ESTHER PETERSON
Peer Specialist
3647 HIGHWAY 39
KLAMATH FALLS, OR 97603
Klamath County (541) 887-8881
ANAYELI MARTINEZ
Technician, Other
3647 HIGHWAY 39
KLAMATH FALLS, OR 97603
Klamath County (541) 884-5244
JOSEPH MARQUEZ
Technician
3647 HIGHWAY 39
KLAMATH FALLS, OR 97603
Klamath County (541) 884-5244
GAIL SEARFOSS
Technician
3647 HIGHWAY 39
KLAMATH FALLS, OR 97603
Klamath County (541) 884-5244
BOBBY LEE BLACK CADC-1, CRM, QMHA-R
Counselor (Addiction (Substance Use Disorder))
3647 HIGHWAY 39
KLAMATH FALLS, OR 97603
Klamath County (541) 884-5244
FRED JAMES BROWN III
Technician
3647 HIGHWAY 39
KLAMATH FALLS, OR 97603
Klamath County (541) 884-5244
ANDREA CORINE MCCLEERY
Peer Specialist
3647 HIGHWAY 39
KLAMATH FALLS, OR 97603
Klamath County (541) 884-5244
MELISSA V HANSEN
Peer Specialist
3647 HIGHWAY 39
KLAMATH FALLS, OR 97603
Klamath County (541) 884-5244

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 George Clark's NPI number?

The NPI number for George Clark is 1750927075. It was assigned to this individual provider in the NPPES registry on November 21, 2019.

Where is George Clark located?

George Clark practices at 3647 Highway 39, Klamath Falls, OR 97603. The listed phone number is (541) 884-5244.

What is George 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 George Clark was last updated on October 12, 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.