Blythe P Clark-Mckitrick
Counselor, Addiction (Substance Use Disorder) in Tigard, Oregon
1609373166- Practice location
- 10763 SW Greenburg RD Ste 100, Tigard, OR 97223-5492
- Phone
- 503-941-8569
- Fax
- 503-598-0934
- Last updated
- April 11, 2018
Blythe P Clark-Mckitrick is a Counselor, Addiction (Substance Use Disorder) based in Tigard, OR. The NPI number for Blythe P Clark-Mckitrick is 1609373166 and holds license No. T-18-017 (OR). The current practice location address is 10763 SW Greenburg RD Ste 100, Tigard, OR 97223-5492 and the office can be reached by phone at 503-941-8569 and by fax at 503-598-0934. The NPI was assigned on April 11, 2018 and the record was last updated in NPPES on April 11, 2018.
●Provider Profile Details
- NPI Number
- 1609373166
- Provider Name
- Blythe Patricia Clark-Mckitrick
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Female
- Primary Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Sole Proprietor
- No
- Enumeration Date
- April 11, 2018
- Last Update Date
- April 11, 2018
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 10763 SW Greenburg RD Ste 100
Tigard, OR 97223-5492 - City
- Tigard
- State
- Oregon
- ZIP
- 97223-5492
- Country
- US
- Phone Number
- 503-941-8569
- Fax Number
- 503-598-0934
✉Business Mailing Address
- Address
- 10763 SW Greenburg RD Ste 100
Tigard, OR 97223-5492 - City
- Tigard
- State
- OR
- ZIP
- 97223-5492
- Phone Number
- 503-941-8569
- Fax Number
- 503-598-0934
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | Yes | T-18-017 | OR |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Tigard →?Frequently Asked Questions
What is the NPI number of Blythe P Clark-Mckitrick?
The NPI number of Blythe P Clark-Mckitrick is 1609373166. It was assigned on April 11, 2018 and is currently active in the NPPES registry.
What is the specialty of Blythe P Clark-Mckitrick?
Blythe P Clark-Mckitrick is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X) and holds license No. T-18-017 (OR).
Where does Blythe P Clark-Mckitrick practice?
The practice location is 10763 SW Greenburg RD Ste 100, Tigard, OR 97223-5492. The office can be reached at 503-941-8569 (phone) or 503-598-0934 (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 1609373166 directly on the NPPES registry website at npiregistry.cms.hhs.gov.