Individual provider · Type 1 NPI

Blythe Patricia Clark-McKitrick

Addiction (Substance Use Disorder) Counselor · Tigard, OR

NPI number 1609373166 Active

Practice location

10763 SW Greenburg Rd Ste 100
Tigard, OR 97223-5492

Call (503) 941-8569 Map

Fax (503) 598-0934

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XT-18-017 (OR)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1609373166

Blythe Patricia Clark-McKitrick's National Provider Identifier is 1609373166, issued on Apr 11, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tigard, OR. The record was last updated on Apr 11, 2018.