Cara Aria Clark, CHW
Individual provider Active NPI Community Health Worker · Stayton, OR
NPI 1003687534 · NPPES record last updated Jan 12, 2024
Key facts
- NPI
- 1003687534
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- License
- TWH000110358 (OR)
- Practice address
- 1401 N 10TH Ave
Stayton, OR 97383-1311 - Phone
- (971) 600-5847
- NPI assigned
- Jan 12, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TWH000110358 | OR | MD | Community Health Worker |
| THW000107924 | OR | MD | Peer Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | THW000107924 | OR | |
| Community Health Worker | 172V00000X | TWH000110358 | OR | Yes |
Addresses
Primary practice location
1401 N 10TH Ave
Stayton, OR 97383-1311
Mailing address
1401 N 10TH Ave
Stayton, OR 97383-1311
Phone (971) 600-5847
Other providers in Stayton, OR
- Ian Cavigli
- Michael C Chen
- Kailey Anne Christison
- Takahla Circle
- Joni Clancy
- Susan Melaine Cloudy
- Roland X Cochrun
- Jill Cohen
- Marissa Colberg
- Cory M. Smith, DMD, L.L.C.
All providers in Stayton, OR · Community Health Worker in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.