Clark, Diana Martha
Clark, Diana Martha is an individual health care provider with primary practice located at 15100 Sw Boones Ferry Rd Ste 850, Lake Oswego OR 97035-3423. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Clark, Diana Martha can be contacted via phone (503) 636-1625.Contact Information
Primary practice address
15100 Sw Boones Ferry Rd Ste 850
Lake Oswego OR 97035-3423
Phone: (503) 636-1625
Fax: (503) 635-9127
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 1594 | Oregon |
Profile Details
| NPI number | 1598736035 |
|---|---|
| LBN Legal business name | Clark, Diana Martha |
| Credentials | LCSW MSW MA DMIN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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