Clark, Phoebe Samantha
Clark, Phoebe Samantha is an sole proprietor health care provider with primary practice located at 19855 4Th St Ste 106 , Bend OR 97703-7814. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Clark, Phoebe Samantha can be contacted via phone (541) 203-0970.Contact Information
Primary practice address
19855 4Th St Ste 106
Bend OR 97703-7814
Phone: (541) 203-0970
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | C5258 | Oregon |
Profile Details
| NPI number | 1881050490 |
|---|---|
| LBN Legal business name | Clark, Phoebe Samantha |
| Credentials | MA, LPC, ATR. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 12th, 2016 |
| Last updated | Apr 30th, 2026 - about 7 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881050490 | NPPES |
| New Mexico | MEDICAID | 85338559 |
Popular Providers
-
Radzik, Scott
376 Sw Bluff Dr Ste 1 , Bend OR 97702-1399 -
Lapoma, Claire Rose
731 Nw Franklin Ave Ste 100 , Bend OR 97703 -
Mcwilliams, Rachel Margaret
2577 Ne Courtney Dr , Bend OR 97701-7638 -
Clayton, Yvonne M
231 Sw Scalehouse Loop Ste 202 , Bend OR 97702-1277 -
Skillings, Cherie C
2190 Ne Professional Ct Ste 250 , Bend OR 97701-6988 -
Cheney, Ryan James
2863 Nw Crossing Dr Ste 217 , Bend OR 97703-7190 -
Kubori, Hanako
1340 Nw Wall St , Bend OR 97701-1985 -
Harris, Holly Mccown
2577 Ne Courtney Dr , Bend OR 97701-7638