ERIC CLARDY
NPI 1841659547
Peer Specialist in Portland, OR
- Individual
- Male
- Peer Specialist
About ERIC CLARDY
This page provides the complete NPI Profile along with additional information for Eric Clardy, a provider established in Portland, Oregon with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1841659547 assigned on February 2016. The practitioner's primary taxonomy code is 175T00000X with license number 15-CRM-035 (OR). The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1841659547 Verify this NPI
- Provider Name
- ERIC CLARDY
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 10564 SE WASHINGTON ST PORTLAND, OR 97216
- Location Phone
- (503) 228-9229
- Mailing Address
- 10564 SE WASHINGTON ST PORTLAND, OR 97216
- Mailing Phone
- (503) 228-9229
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 02-23-2016
- Last Update Date
- 02-23-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Peer Specialist
- Taxonomy Code
- 175T00000X
- Type
- Other Service Providers
- License No.
- 15-CRM-035
- License State
- OR
- Taxonomy Description
- 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.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
PORTLAND, OR 97216
PORTLAND, OR 97216
PORTLAND, OR 97216
PORTLAND, OR 97216
PORTLAND, OR 97216
PORTLAND, OR 97216
PORTLAND, OR 97216
PORTLAND, OR 97216
PORTLAND, OR 97216
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1841659547, enumerated as an "individual" on February 23, 2016.
The provider is located at 10564 SE WASHINGTON ST PORTLAND, OR 97216 and the phone number is (503) 228-9229.
Peer Specialist with taxonomy code 175T00000X.