- Practice location
- 8915 SW Center St, Tigard, OR 97223-6307
- Phone
- 503-726-3690
- Fax
- —
- Last updated
- December 21, 2020
Madeline Clark is a Counselor, Mental Health based in Tigard, OR. Madeline Clark practices in Tigard, OR. The NPI Number for Madeline Clark is 1063989515. The current practice location address for Madeline Clark is 8915 SW Center St, Tigard, OR 97223-6307 and can be reached out via phone at 503-726-3690.
Provider Profile Details
- NPI Number
- 1063989515
- Provider Name
- Madeline Clark
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 8915 SW Center St, Tigard, OR 97223-6307
- Phone Number
- 503-726-3690
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 1, 2018
- Last Update Date
- December 21, 2020
- Certification Date
- December 21, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 8915 SW Center St
Tigard, OR 97223-6307 - City
- Tigard
- State
- Oregon
- Zip
- 97223-6307
- Phone Number
- 503-726-3690
Provider Business Mailing Address Details
- Address
- 1800 NW 167TH Pl Ste 115
Beaverton, OR 97006-4846 - City
- Beaverton
- State
- OR
- Zip
- 97006-4846
- Phone Number
- 971-334-7047
License Information
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Mental Health providers near Tigard, OR
View all Counselor, Mental Health providers in Tigard →- Adam J CostaCounselor, Mental Health · NPI 1639765084
- Adam R ArizaCounselor, Mental Health · NPI 1407404817
- Adam R ArizaCounselor, Mental Health · NPI 1407404817
- Adrian BacherCounselor, Mental Health · NPI 1437026614
- Adry S Clark, PHDCounselor, Mental Health · NPI 1861374258
- Afton L DaebneyCounselor, Mental Health · NPI 1063237717
Frequently Asked Questions
What is the NPI number of Madeline Clark?
The NPI number of Madeline Clark is 1063989515. It was assigned on November 1, 2018 and is currently active in the NPPES registry.
What is the specialty of Madeline Clark?
Madeline Clark is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).
Where does Madeline Clark practice?
The practice location is 8915 SW Center St, Tigard, OR 97223-6307. The office can be reached at 503-726-3690 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063989515 directly on the NPPES registry website.