Mark Lewis Clark
Peer Specialist • Vancouver, WA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Mark Clark has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Mark Clark was a registered Peer Specialist practicing in Vancouver, WA. Throughout an active medical career spanning 3 years, Mark Clark provided care at the practice location at 1601 E 4TH PLAIN BLVD until profile deactivation on 2024-06-19.
Practice Location & Contact Primary Location
1601 E 4th Plain Blvd
Vancouver, WA 986613713
Specialty Benchmarks & Practice Insights
Comparative analytics for Peer Specialist in Vancouver, WA
Practicing in Vancouver, WA (2660 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 175T00000X
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Counselor
Master of Social Work
Counselor - Addiction (Substance Use Disorder)
Counselor - Addiction (Substance Use Disorder)
Counselor
Counselor - Mental Health
Counselor - Addiction (Substance Use Disorder)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on June 19, 2024
NPI status registered as active in NPPES database
Registered at 1601 E 4TH PLAIN BLVD, VANCOUVER, WA 986613713 (Tel: 3603978246)
Registered at 1601 E 4TH PLAIN BLVD, VANCOUVER, WA 986613713 (Tel: 3603978246)
Recorded as MARK CLARK
Peer Specialist
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1601 E 4th Plain Blvd
Vancouver, WA 986613713
Phone: 3603978246
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