- Practice location
- 6800 SW 105TH Ave Ste 101, Beaverton, OR 97008-5488
- Phone
- 971-200-1966
- Fax
- 971-754-4141
- Last updated
- April 18, 2024
Sean Clark is a Counselor, Professional based in Beaverton, OR. Sean Clark practices in Beaverton, OR and has the professional credentials of LPC. The NPI Number for Sean Clark is 1689078271 and holds a License No. C6270. The current practice location address for Sean 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
- 1689078271
- Provider Name
- Sean Clark
- Credential
- LPC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 6800 SW 105TH Ave Ste 101, Beaverton, OR 97008-5488
- Phone Number
- 971-200-1966
- Fax Number
- 971-754-4141
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 10, 2014
- Last Update Date
- April 18, 2024
- Certification Date
- April 17, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 6800 SW 105TH Ave Ste 101
Beaverton, OR 97008-5488 - City
- Beaverton
- State
- Oregon
- Zip
- 97008-5488
- Phone Number
- 971-200-1966
- Fax Number
- 971-754-4141
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
- License Number
- C6270
- Taxonomy
- Counselor, Professional · 101YP2500X · 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 Sean Clark, LPC?
The NPI number of Sean Clark, LPC is 1689078271. It was assigned on October 10, 2014 and is currently active in the NPPES registry.
What is the specialty of Sean Clark, LPC?
Sean Clark, LPC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed under license number C6270.
Where does Sean Clark, LPC 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 1689078271 directly on the NPPES registry website.