Individual
JESSICA CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRM
Contact information
Practice address
71 CENTENNIAL LOOP STE A, EUGENE, OR 97401-2443
(541) 214-2786
Mailing address
71 CENTENNIAL LOOP STE A, EUGENE, OR 97401-2443
(541) 214-2786
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
25-CRM-4526
OR
Other
Enumeration date
06/20/2025
Last updated
06/20/2025
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