Duane Charles Clingings, CADC CANDIDATE

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

13CRM062 Issued in OR

Practice address

10209 SE Division St Ste D
Portland, OR 97266-1372

Phone

(971) 386-3435

Fax

(503) 946-8745

NPI assigned

Apr 6, 2015

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466726400000",
    "number": "1649665696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16756",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972920756",
            "telephone_number": "971-386-3435",
            "fax_number": "503-208-2596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10209 SE DIVISION ST STE D",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972661372",
            "telephone_number": "971-386-3435",
            "fax_number": "503-946-8745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINGINGS",
        "first_name": "DUANE",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "CADC CANDIDATE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-06",
        "last_updated": "2016-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Q00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "13CRM062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Cline
• Janelle Gay Cline, RN, LMT
• Krystle M Cline, LMT
• Melanie Louise Cline, RDH
• Lauralee Clines, LPN
• Clinical Home Services, LLC
• Clinician Link NW, LLC
• Clinicops LLC
• Clinicops, LLC
• Alyssa N Clinkenbeard, PHARM.D.

• Peer Specialist in Portland, OR
• Providers in Portland, OR by specialty
• Peer Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.