Mandy Clark is an addiction (substance use disorder) counselor in Portland, OR. Mandy Clark NPI is 1316144389. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1030 NE COUCH ST.
PORTLAND, OR
ZIP 97232
Phone: (503) 239-8400
Fax: (503) 239-8407
The NPI 1316144389 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.
The enumeration date for this NPI number is 7/2/2007 and was last updated on 2/20/2015.