Lennee Clark, PSS is a
Peer Specialist based in Cottage Grove, Oregon. Lennee Clark is licensed to practice in Oregon (license number ) and her current practice location is
75 S 5th St, Cottage Grove, Oregon. She can be reached at her office (for appointments etc.) via phone at
(541) 767-4260.
NPI number for Lennee Clark is 1578085924 and her current mailing address is Po Box 5, Cottage Grove, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1578085924.
Healthcare Provider's Profile
| Full Name | Lennee Clark |
|---|
| Gender | Female |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 75 S 5th St, Cottage Grove, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1578085924
- Provider Enumeration Date: 07/07/2017
- Last Update Date: 09/27/2017
Medical Identifiers
Medical identifiers for Lennee Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578085924 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | THW2138 (Oregon) | Secondary |
| 175T00000X | Peer Specialist | (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lennee Clark is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Lennee Clark, PSS
Po Box 5,
Cottage Grove, OR 97424-0001
Ph: (541) 942-3939 | Lennee Clark, PSS
75 S 5th St,
Cottage Grove, OR 97424-2008
Ph: (541) 767-4260 |
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