Nicole Clark
NPI 1023513637 · on the registry since 2018
Practice
- Address
- 3650 Ne Mallory Ave Apt 309
Portland, OR 97212 - Phone
- (971) 331-0422
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Counselor
101Y00000X
- Also registered as
- Student in an Organized Health Care Education/Training Program
- Sex
- Female
- Record last updated
- 2018-12-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon