- Practice location
- 10700 SW Beaverton Hillsdale Hwy Ste 696-1, Beaverton, OR 97005-3019
- Phone
- 503-939-6425
- Fax
- —
- Last updated
- March 19, 2024
Masyn Kathleen Clark is a Marriage & Family Therapist based in Beaverton, OR. Masyn Kathleen Clark practices in Beaverton, OR. The NPI Number for Masyn Kathleen Clark is 1497326128 and holds a License No. A391223 (OR). The current practice location address for Masyn Kathleen Clark is 10700 SW Beaverton Hillsdale Hwy Ste 696-1, Beaverton, OR 97005-3019 and can be reached out via phone at 503-939-6425.
Provider Profile Details
- NPI Number
- 1497326128
- Provider Name
- Masyn Kathleen Clark
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 10700 SW Beaverton Hillsdale Hwy Ste 696-1, Beaverton, OR 97005-3019
- Phone Number
- 503-939-6425
- Primary Taxonomy
- Marriage & Family Therapist · 106H00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 3, 2021
- Last Update Date
- March 19, 2024
- Certification Date
- March 19, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 10700 SW Beaverton Hillsdale Hwy Ste 696-1
Beaverton, OR 97005-3019 - City
- Beaverton
- State
- Oregon
- Zip
- 97005-3019
- Phone Number
- 503-939-6425
Provider Business Mailing Address Details
- Address
- 21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807 - City
- Woodland Hills
- State
- CA
- Zip
- 91367-7807
License Information
- License Number (1)
- A391223
- License State (1)
- OR
- Taxonomy (1)
- Behavior Technician · 106S00000X
- Taxonomy (2)
- Marriage & Family Therapist · 106H00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Masyn K Clark?
The NPI number of Masyn K Clark is 1497326128. It was assigned on July 3, 2021 and is currently active in the NPPES registry.
What is the specialty of Masyn K Clark?
Masyn K Clark is registered under the primary taxonomy Marriage & Family Therapist (code 106H00000X), licensed in OR under license number A391223.
Where does Masyn K Clark practice?
The practice location is 10700 SW Beaverton Hillsdale Hwy Ste 696-1, Beaverton, OR 97005-3019. The office can be reached at 503-939-6425 (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 1497326128 directly on the NPPES registry website.