Active NPIIndividual provider

Heather Clark

Counselor in Beaverton, Oregon

NPI Number1396697421
Practice location
6800 SW 105TH Ave Ste 101, Beaverton, OR 97008-5488
Fax
971-754-4141
Last updated
February 11, 2026

Heather Clark is a Counselor based in Beaverton, OR. Heather Clark practices in Beaverton, OR. The NPI Number for Heather Clark is 1396697421. The current practice location address for Heather Clark is 6800 SW 105TH Ave Ste 101, Beaverton, OR 97008-5488 and can be reached out via phone at 971-200-1966 and via fax at 971-754-4141.

Provider Profile Details

NPI Number
1396697421
Provider Name
Heather Clark
Provider Entity Type
Individual
Gender
Female
Address
6800 SW 105TH Ave Ste 101, Beaverton, OR 97008-5488
Phone Number
971-200-1966
Fax Number
971-754-4141
Primary Taxonomy
Counselor · 101Y00000X
Sole Proprietor
No
Provider Enumeration Date
February 11, 2026
Last Update Date
February 11, 2026
Certification Date
February 11, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
6800 SW 105TH Ave Ste 101
Beaverton, OR 97008-5488
State
Oregon
Zip
97008-5488
Phone Number
971-200-1966
Fax Number
971-754-4141
Beaverton, OR 97008Get directions →

Provider Business Mailing Address Details

Address
6800 SW 105TH Ave Ste 101
Beaverton, OR 97008-5488
City
Beaverton
State
OR
Zip
97008-5488
Phone Number
971-200-1966
Fax Number
971-754-4141

License Information

Taxonomy
Counselor · 101Y00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Heather Clark?

The NPI number of Heather Clark is 1396697421. It was assigned on February 11, 2026 and is currently active in the NPPES registry.

What is the specialty of Heather Clark?

Heather Clark is registered under the primary taxonomy Counselor (code 101Y00000X).

Where does Heather Clark practice?

The practice location is 6800 SW 105TH Ave Ste 101, Beaverton, OR 97008-5488. The office can be reached at 971-200-1966 (phone) or 971-754-4141 (fax).

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 1396697421 directly on the NPPES registry website.

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