Clark, Sydney

Clark, Sydney is an individual health care provider with primary practice located at 9615 Grand Ronde Rd , Grand Ronde OR 97347-9712. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Clark, Sydney can be contacted via phone (503) 879-2297.

Contact Information

Primary practice address
9615 Grand Ronde Rd Grand Ronde OR 97347-9712
Phone: (503) 879-2297
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X 108162 Oregon
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X T-23-2489 Oregon

Profile Details

NPI number 1093410060
LBN Legal business name Clark, Sydney
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2023
Last updated Mar 31st, 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.

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