Individual provider · Type 1 NPI

Madeline Clark

Mental Health Counselor · Tigard, OR

NPI number 1063989515 Active

Practice location

8915 SW Center St
Tigard, OR 97223-6307

Call (503) 726-3690 Map

Mailing address

1800 NW 167th Pl Ste 115
Beaverton, OR 97006-4846

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1063989515

Madeline Clark's National Provider Identifier is 1063989515, issued on Nov 1, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tigard, OR. The record was last updated on Dec 21, 2020.