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MR. MICHAEL DAVID CLARK CRM
NPI 1861209132
Peer Specialist in Albany, OR

Active since December 11, 2024
1305 HILL ST SE, ALBANY, OR 97322(541) 990-6946 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Michael David Clark Crm NPPES

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

MR. MICHAEL DAVID CLARK CRM (NPI 1861209132) is an individual peer specialist in Albany, Oregon, licensed in Oregon (24-CRM-3907) and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1861209132
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMR. MICHAEL DAVID CLARKCredential: CRM
Location Address1305 HILL ST SEAlbany, OR 97322-6711
Mailing Address1305 Hill St SeAlbany, OR 97322-6711 · (541) 990-6946
Phone(541) 990-6946
Sole ProprietorNo
Enumeration DateDecember 11, 2024
NPPES CertifiedDecember 11, 2024
✔ NPI 1861209132 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 · 24-CRM-3907
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.
1305 HILL ST SE, Albany, OR 97322
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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.

MERIDETH MEGAN SCHREPFER
Peer Specialist
1305 HILL ST SE
ALBANY, OR 97322
Linn County (541) 905-4120
ELSA KING
Community Health Worker
1305 HILL ST SE
ALBANY, OR 97322
Linn County (541) 967-6580
ANASTASIA FITKIN
Community Health Worker
1305 HILL ST SE
ALBANY, OR 97322
Linn County (541) 967-6580
MEGAN HILL
Case Manager/Care Coordinator
1305 HILL ST SE
ALBANY, OR 97322
Linn County (541) 967-6580
SABRINA DOMINGUEZ
Peer Specialist
1305 HILL ST SE
ALBANY, OR 97322
Linn County (541) 967-6580
VALERIA JAILENE SANCHEZ
Peer Specialist
1305 HILL ST SE
ALBANY, OR 97322
Linn County (541) 967-6580
KENDALL MELLGREN
Peer Specialist
1305 HILL ST SE
ALBANY, OR 97322
Linn County (541) 967-6580
MRS. KIM J. KING
Community Health Worker
1305 HILL ST SE
ALBANY, OR 97322
Linn County (541) 808-8204

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 Michael Clark's NPI number?

The NPI number for Michael Clark is 1861209132. It was assigned to this individual provider in the NPPES registry on December 11, 2024.

Where is Michael Clark located?

Michael Clark practices at 1305 Hill St SE, Albany, OR 97322. The listed phone number is (541) 990-6946.

What is Michael 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 Michael Clark was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.