Bayard-Clark, Miranda

Bayard-Clark, Miranda is an individual health care provider with primary practice located at 15110 Boones Ferry Rd Ste 150 , Lake Oswego OR 97035-3486. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Bayard-Clark, Miranda can be contacted via phone (503) 395-7592.

Contact Information

Primary practice address
15110 Boones Ferry Rd Ste 150 Lake Oswego OR 97035-3486
Phone: (503) 395-7592
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 60599847 Washington

Profile Details

NPI number 1295164309
LBN Legal business name Bayard-Clark, Miranda
Credentials M.A., LPC INTERN,
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2013
Last updated Jan 15th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers