Individual provider · Type 1 NPI

Jordan Dyann Clark

Mental Health Counselor · Portland, OR

NPI number 1821986340 Active

Practice location

5331 S Macadam Ave Ste 287
Portland, OR 97239-3849

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1821986340

Jordan Dyann Clark's National Provider Identifier is 1821986340, issued on Jun 24, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jun 24, 2025.