Bethaney Clark

Counselor · Gresham, OR

Individual Active NPI

NPI number 1427517234

Practice location

123 E Powell Blvd Ste 303
Gresham, OR 97030-7620
Phone
(971) 220-1495

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NPI record

NPI
1427517234
Entity type
Individual (Type 1)
Enumeration date
March 19, 2019
Last updated
March 19, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Counselor Primary 101Y00000X — —

Mailing address

4233 SE 182ND Ave # 212
Gresham, OR 97030-5082
Phone
(971) 220-1495

About Bethaney Clark

Bethaney Clark is a healthcare provider registered in the NPI registry with the primary taxonomy Counselor (code 101Y00000X). The practice location is 123 E Powell Blvd Ste 303, Gresham, OR 97030-7620. The NPI number 1427517234 was assigned on March 19, 2019 and the record was last updated on March 19, 2019.

Frequently asked questions

What is the NPI number of Bethaney Clark?

The NPI number is 1427517234.

What is the phone number of Bethaney Clark?

The phone number listed for the practice location is (971) 220-1495.

Where is Bethaney Clark located?

123 E Powell Blvd Ste 303, Gresham, OR 97030-7620.

What is the taxonomy code for Bethaney Clark?

The primary taxonomy code is 101Y00000X – Counselor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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