Clark, Kathryn Anne

Clark, Kathryn Anne is an individual health care provider with primary practice located at 1700 Nw Civic Dr Ste 310 , Gresham OR 97030-3774. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Clark, Kathryn Anne can be contacted via phone (503) 666-8832.

Contact Information

Primary practice address
1700 Nw Civic Dr Ste 310 Gresham OR 97030-3774
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X C4913 Oregon

Profile Details

NPI number 1821434317
LBN Legal business name Clark, Kathryn Anne
Credentials MC, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2013
Last updated Mar 13th, 2026 - about 7 months 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.

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