Individual provider · Type 1 NPI

Kendall Olivia Clark

Mental Health Counselor · Portland, OR

NPI number 1619434909 Active

Practice location

9320 SW Barbur Blvd Ste 200
Portland, OR 97219-5499

Call (503) 222-9661 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1619434909

Kendall Olivia Clark's National Provider Identifier is 1619434909, issued on Feb 22, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Feb 22, 2019.