Provider / Organization | NPI | Date Certified |
---|---|---|
RIVER CAROLE MARIE-JEANNE DELOGU-CLARK | 1881278505 | 2022-02-24 |
River Carole Marie-jeanne Delogu-clark is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1881278505. Registration indicates River Carole Marie-jeanne Delogu-clark is a provider of access to substance use disorder providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Addiction (Substance Use Disorder),, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Addiction Substance Use Disorder, Behavioral Health & Social Service Providers) (Counselor, )
Entity Type | Individual |
Provider Name | River Carole Marie-jeanne Delogu-clark |
Other Provider Name | River Carole Marie-jeanne Delogu-clark |
Practice Office Address | 19500 SE STARK ST # C PORTLAND, OR US |
Practice Office Telephone | 5032493434 |
Mailing Address | 11720 SE ALDER ST PORTLAND, OR 972163868 US |
Business Telephone | 5033831309 |
Code | Practice | License No State |
---|---|---|
101YA0400X PRIMARY | Access to Substance Use Disorder Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Addiction (Substance Use Disorder), Behavioral Health/Substance Abuse/Psychiatry Counselor Addiction Substance Use Disorder Behavioral Health & Social Service Providers Counselor |