Individual
AMANDA MARIE CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1143 LIBERTY ST NE, SALEM, OR 97301-1047
(503) 588-5825
(503) 364-1027
Mailing address
1233 EDGEWATER ST NW, SALEM, OR 97304-4049
(503) 378-7526
(503) 480-1611
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
109256
OR
Other
Enumeration date
07/06/2023
Last updated
05/14/2026
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