Provider Demographics
NPI:1881572311
Name:PHARRIS, CLINTON B (CO61691834)
Entity type:Individual
Prefix:MR
First Name:CLINTON
Middle Name:B
Last Name:PHARRIS
Suffix:
Gender:M
Credentials:CO61691834
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3430 E HIGHWAY 101 STE 3
Mailing Address - Street 2:
Mailing Address - City:PORT ANGELES
Mailing Address - State:WA
Mailing Address - Zip Code:98362-9069
Mailing Address - Country:US
Mailing Address - Phone:360-452-4062
Mailing Address - Fax:360-452-4189
Practice Address - Street 1:3430 E HIGHWAY 101 STE 3
Practice Address - Street 2:
Practice Address - City:PORT ANGELES
Practice Address - State:WA
Practice Address - Zip Code:98362-9069
Practice Address - Country:US
Practice Address - Phone:360-452-4062
Practice Address - Fax:360-452-4189
Is Sole Proprietor?:No
Enumeration Date:2025-08-22
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)