Clark, Katrina A

Clark, Katrina A is an sole proprietor health care provider with primary practice located at 23 Nw Greenwood Ave , Bend OR 97703-2078. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Clark, Katrina A can be contacted via phone (541) 383-4293.

Contact Information

Primary practice address
23 Nw Greenwood Ave Bend OR 97703-2078
Phone: (541) 383-4293
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X 23-CRM-1633 Oregon

Profile Details

NPI number 1730895905
LBN Legal business name Clark, Katrina A
Credentials CRM
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2023
Last updated Jan 30th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers