Search › Oregon › 101YP2500X
Jayson Clark, MSMFT, LPC
NPI 1598198954 · on the registry since 2013
Practice
- Address
- 621 W Madrone St
Roseburg, OR 97470 - Phone
- (541) 672-2691
- Organisation at this address
- Adapt
Adapt
Adapt
Adapt
County Of DouglasInferred from a shared address, not stated in the registry. - Clinicians at this address
- 306
Additional practice sites
- 140 S Holly St, Medford, OR
- 140 S Holly St, Medford, OR
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101YA0400X
101YM0800X - Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-07
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