Individual provider · Type 1 NPI

Catherine Clark

Mental Health Counselor · Portland, OR

NPI number 1750211900 Active

Practice location

5901 S Macadam Ave Ste 130
Portland, OR 97239-3627

Call (509) 255-3872 Map

Mailing address

1630 SE Rural St Apt 311
Portland, OR 97202-5861

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1750211900

Catherine Clark's National Provider Identifier is 1750211900, issued on May 20, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on May 20, 2026.