Search › Oregon › 101YP2500X
Nicklaus Clark, LPC, LMHC
NPI 1407251408 · on the registry since 2014
Practice
- Address
- 1700 Nw Civic Dr
Suite 310
Gresham, OR 97030 - Phone
- (503) 233-5405
- Organisation at this address
- Bd-Gresham, Llc
Columbia River Dentistry-Gresham, Llc
Western Psychological And Counseling Services PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 34
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101YM0800X
101YP2500X - Licence states on file
- WA, OR, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-02-04
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