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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KATELYN CLARK
NPI 1861309379
Peer Specialist in Bend, OR

Active since August 27, 2026

NPPES record added: August 27, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Katelyn Clark NPPES

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

KATELYN CLARK (NPI 1861309379) is an individual peer specialist in Bend, Oregon, licensed in Oregon (115919) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1861309379
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameKATELYN CLARK
Location Address908 NE 4TH STBend, OR 97701-4646
Mailing AddressPo Box 1710Redmond, OR 97756-0516 · (541) 516-0499
Phone(541) 617-7365
Sole ProprietorYes
Enumeration DateAugust 27, 2026
NPPES CertifiedAugust 27, 2026
✔ NPI 1861309379 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 · 115919
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.
908 NE 4TH ST, Bend, OR 97701
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Other Providers at the Same Location NPPES 5

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

NASADIA RAYLYNNE VOLTZ CADC-R
Counselor (Addiction (Substance Use Disorder))
908 NE 4TH ST
BEND, OR 97701
Deschutes County (541) 617-7365
KAILEY CHERYL BERG CRM, PSS
Peer Specialist
908 NE 4TH ST
BEND, OR 97701
Deschutes County (541) 460-8237
FELISHA MARIE COON CRM
Peer Specialist
908 NE 4TH ST
BEND, OR 97701
Deschutes County (541) 617-7365
LYNETTE ROBERTS CADC1, CRM, PSS,QMHA
Counselor (Addiction (Substance Use Disorder))
908 NE 4TH ST
BEND, OR 97701
Deschutes County (541) 617-7365
STEPHANIE SCHOETTLER MA
Counselor (Mental Health)
908 NE 4TH ST
BEND, OR 97701
Deschutes County (541) 617-7365

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 Katelyn Clark's NPI number?

The NPI number for Katelyn Clark is 1861309379. It was assigned to this individual provider in the NPPES registry on August 27, 2026.

Where is Katelyn Clark located?

Katelyn Clark practices at 908 NE 4th St, Bend, OR 97701. The listed phone number is (541) 617-7365.

What is Katelyn 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 Katelyn Clark was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.