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Laura Pettis-Clark, QMHA-R
NPI 1174133953 · Case Manager/Care Coordinator · Clackamas, OR
Laura Pettis-Clark, QMHA-R is a Case Manager/Care Coordinator provider in Clackamas, OR (NPI 1174133953).
Provider details
- NPI number
- 1174133953
- Entity type
- Individual
- Primary specialty
- Case Manager/Care CoordinatorOther Service Providers
- Credential
- QMHA-R
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12901 Se 97th Ave Ste 340
Clackamas, OR 97015-7903
Phone: (503) 655-8045
Fax: (523) 655-6806
Street-level locationGet directions
Mailing address
2300 Ne 165th Dr
Portland, OR 97230-5525
Registry dates
- Enumerated
- 2020-08-05
- Last updated
- 2020-08-05
- Certified
- 2020-08-05
Frequently asked questions
- What is Laura Pettis-Clark's NPI number?
- Laura Pettis-Clark's National Provider Identifier (NPI) is 1174133953, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Laura Pettis-Clark's specialty?
- Laura Pettis-Clark is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator (Other Service Providers).
- Where is Laura Pettis-Clark located?
- Laura Pettis-Clark's practice location on file with NPPES is 12901 Se 97th Ave Ste 340, Clackamas, OR 97015-7903.
- What is Laura Pettis-Clark's phone number?
- The practice phone number listed in the NPPES registry for Laura Pettis-Clark is (503) 655-8045.
- Is Laura Pettis-Clark's NPI active?
- Yes — Laura Pettis-Clark's NPI (1174133953) is active in the NPPES registry as of the last update on 2020-08-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.