Most Relevant Information
Provider Data
| NPI Number: | 1003687534 |
| Provider Name: | CARA ARIA CLARK CHW |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: | THW000107924 |
Most Important Dates
| Enumeration Date: | 01/12/2024 |
| Last Updated: | 01/12/2024 |
Provider Practice Location
1401 N 10TH AVE
STAYTON
OR
973831311
Practice Location Phone/Fax
| Phone: | 9716005847 |
| Fax: |
Provider Mailing Location
1401 N 10TH AVE
STAYTON
OR
973831311
Provider Mailing Phone/Fax
| Phone: | 9716005847 |
| Fax: |