Search › Oregon › 1041C0700X
Adam Clark, LCSW
NPI 1699276287 · on the registry since 2018
Practice
- Address
- 790 E 5th St
Coquille, OR 97423 - Phone
- (541) 396-3111
- Organisation at this address
- Coquille Valley Health
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 15
Additional practice sites
- 66895 West St, Bend, OR
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041C0700X
- Licence states on file
- CO, OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-09-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon