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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LAURA ANNE PETTIS-CLARK, QMHA-R

Active

LAURA ANNE PETTIS-CLARK, QMHA-R is a Case Manager healthcare provider located in CLACKAMAS, Oregon. NPI 1174133953 is currently active in the NPPES registry. Verify at CMS.

Case Manager · CLACKAMAS, OR

Registration Details

NPI Number
1174133953
Provider Type
Individual
Gender
Female
NPI Issued
Aug 5, 2020 (6.0352271571235 yrs)
Last Updated
Aug 5, 2020

Practice Information

Address
12901 SE 97TH AVE STE 340
CLACKAMAS, OR, 970157903
Browse OR providers · Browse ZIP 97015
Phone
5036558045
Fax
5236556806
Primary Specialty
Case Manager
171M00000X

Other Case Manager Providers in CLACKAMAS, OR

Name Credential NPI
JENNIFER HAYNES 1871855601
SHERRI PINE 1063819886
AMY STRAWSER QMHA 1447803689
ALLISON MCDANIEL QMHA-R 1730700774
ELIJAH LENARD ALEXANDER 1538879176
NICHOLE M BYRD 1821795915
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.