Individual provider · Type 1 NPI

Mark William Douglass, LPC

Professional Counselor · Clackamas, OR

NPI number 1023283660 Active

Practice location

10180 SE Sunnyside Rd
Clackamas, OR 97015-8970

Call (503) 517-0878 Map

Fax (503) 517-0866

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XC2839 (OR)
Addiction (Substance Use Disorder) Counselor 101YA0400X18-03-14 (OR)

Professional Counselor: Definition to come...

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About NPI 1023283660

Mark William Douglass, LPC's National Provider Identifier is 1023283660, issued on Apr 24, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Clackamas, OR. The record was last updated on Nov 24, 2023.