Dr Samantha Clark, PSYD is a
Psychologist - Clinical based in Eugene, Oregon. Dr Samantha Clark is licensed to practice in Oregon (license number 3811) and her current practice location is
144 E 14th Ave Ste B, Eugene, Oregon. She can be reached at her office (for appointments etc.) via phone at
(252) 414-4163.
NPI number for Dr Samantha Clark is 1922744465 and her current mailing address is 617 S 41st Ct, Springfield, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1922744465.
Healthcare Provider's Profile
| Full Name | Dr Samantha Clark |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 144 E 14th Ave Ste B, Eugene, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1922744465
- Provider Enumeration Date: 05/09/2022
- Last Update Date: 04/03/2024
Medical Identifiers
Medical identifiers for Dr Samantha Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922744465 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 3811 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Samantha Clark is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Samantha Clark, PSYD
617 S 41st Ct,
Springfield, OR 97478-7596
Ph: (252) 414-4163 | Dr Samantha Clark, PSYD
144 E 14th Ave Ste B,
Eugene, OR 97401-3533
Ph: (252) 414-4163 |
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