Individual
NICOLE ELIZABETH CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3650 NE MALLORY AVE APT 309, PORTLAND, OR 97212-3086
(971) 331-0422
Mailing address
3650 NE MALLORY AVE APT 309, PORTLAND, OR 97212-3086
(971) 331-0422
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2018
Last updated
12/04/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us