Individual
MANDY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1030 NE COUCH ST., PORTLAND, OR 97232
(503) 239-8400
(503) 239-8407
Mailing address
1027 E. BURNSIDE ST., PORTLAND, OR 97214
(503) 239-8400
(503) 269-8407
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
07/02/2007
Last updated
02/20/2015
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