SEAN CLARK (NPI# 1689078271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689078271 |
| Entity Type | Individual |
| Full Name | SEAN CLARK |
| Practice Address |
707 Ne Couch St Portland OR 97232-2922 |
| Practice Telephone | 5035424603 |
| Practice Fax Number | 5032336093 |
| Mailing Telephone | 5035424603 |
| Mailing Fax Number | 5032336093 |
| Enumeration Date | 2014-10-10 |
| Last Update Date | 2014-10-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235681966 | Sean Clark | Pharmacist | 2407 Stringer Gap Rd, Grants Pass, OR 97527-9573 | 2016-10-28 |
| 1801126487 | Sean Clark | Podiatrist | 8757 Sharmead Way, Fair Oaks, CA 95628-6337 | 2010-01-05 |
| 1497979298 | Sean Clark | Specialist | 151 S College Ave, Suite A4, Fort Collins, CO 80524-2864 | 2007-04-12 |
| 1730283169 | Sean Paul Clark | Chiropractor | 3900 Campus Dr, Newport Beach, CA 92660-2206 | 2006-09-07 |
| 1457864605 | Sean Hoban Clark | Counselor | 2495 Maplewood Dr Ste 312, Maplewood, MN 55109-1985 | 2017-11-09 |
| 1194249029 | Sean William Clark | Pharmacist | 237 William Howard Taft Rd, Cincinnati, OH 45219-2610 | 2017-08-02 |
| 1669682092 | Sean Joseph Clark | Student in an Organized Health Care Education/Training Program | 619 19th St S, Birmingham, AL 35249-1900 | 2007-05-23 |
| 1528034147 | Sean Clark | Technician, Health Information | 15 Mohegan Ave, Uscg Academy - Michel Hall, New London, CT 06320-8100 | 2006-02-24 |
| Street Address |
707 NE COUCH ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97232-2922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003248642 | Janus Youth Programs, Inc. | Voluntary or Charitable | 707 Ne Couch St, Portland, OR 97232-2922 | 2013-08-06 |
| 1619506391 | Danica M Person | Social Worker | 707 Ne Couch St, Portland, OR 97232-2922 | 2020-04-05 |
| 1003440009 | Elise Gilmore | Assistant Behavior Analyst | 707 Ne Couch St, Portland, OR 97232-2922 | 2020-02-27 |
| 1306485446 | Ian Henderson | Day Training/Habilitation Specialist | 707 Ne Couch St, Portland, OR 97232-2922 | 2020-01-06 |
| 1144866112 | Emily Mckenna | Social Worker | 707 Ne Couch St, Portland, OR 97232-2922 | 2019-11-25 |
| 1407492903 | Lowhren Kathleen Aceves | Counselor | 707 Ne Couch St, Portland, OR 97232-2922 | 2019-11-20 |
| 1730724923 | Lora Lynn Elbon | Social Worker | 707 Ne Couch St, Portland, OR 97232-2922 | 2019-11-11 |
| 1053956441 | Ell Em Eff | Social Worker | 707 Ne Couch St, Portland, OR 97232-2922 | 2019-11-09 |
| 1356985352 | Gwynne L Mccay | Social Worker | 707 Ne Couch St, Portland, OR 97232-2922 | 2019-11-01 |
| 1548804651 | Glori Johnson | Social Worker | 707 Ne Couch St, Portland, OR 97232-2922 | 2019-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293215 | Oregon Change Clinic | Clinic/Center | 650 Ne Holladay Street, Suite 1600, Portland, OR 97232 | 2020-10-17 |
| 1154969947 | Lori Kristen Miracle | Acupuncturist | Kwan Yin Healing Arts Center East Inc, 3115 Ne Sandy Blvd. Suite 231, Portland, OR 97232 | 2019-12-12 |
| 1194285411 | Onampai Modina Soondarotok | Student in an Organized Health Care Education/Training Program | Ipp, Oregon Health & Science University, 2214 Lloyd Center, Portland, OR 97232 | 2019-03-22 |
| 1003399635 | Cathleen Nicole Wenberg | Social Worker | 1839 Ne Couch St, Portland, OR 97232 | 2018-09-10 |
| 1508350760 | Float North | Acupuncturist | 1617 Ne 17th Ave., Portland, OR 97232 | 2018-06-20 |
| 1629560719 | Rachael Lee Walters | Doula | 3005 Ne Hoyt St, Portland, OR 97232 | 2018-06-04 |
| 1225529431 | Jason Sutherland | Social Worker | 707 Ne Couch, Portland, OR 97232 | 2018-05-23 |
| 1770089245 | Richard Farwell Leman | Family Medicine | 800 Ne Oregon St., Suite 772, Portland, OR 97232 | 2018-04-03 |
| 1952803413 | Aleksandra Giedowyn Md PC | Family Medicine | 1923 Ne Broadway Street Suite 2, Portland, OR 97232 | 2018-03-01 |
| 1639680374 | Amanda Matteo | Counselor | 20 Ne 10th Ave, Portland, OR 97232 | 2017-10-20 |
| Find all providers in zip 97232 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427160 | Kristine Lee Jones | Counselor | 2628 Se 87th Ave, Portland, OR 97266-1530 | 2020-11-05 |
| 1932711322 | Rachel Wilson | Counselor | 1020 Se 7th Ave # 14283, Portland, OR 97214-2387 | 2020-08-18 |
| 1851919906 | Anjana Rajan | Counselor | Lifeworks Northwest, 14600 Nw Cornell Rd, Portland, OR 97229 | 2020-07-06 |
| 1972124196 | Outside In | Counselor | 16144 E Burnside St, Portland, OR 97233-3520 | 2020-04-28 |
| 1962022350 | Nicole Blake | Counselor | 400 Commercial St, Portland, ME 04101-4660 | 2020-04-25 |
| 1912527201 | Alexa Jenkins | Counselor | 2700 Se Stark St Apt 3, Portland, OR 97214-3499 | 2020-04-16 |
| 1467086629 | Katelan Ruby Hostetler | Counselor | 13300 Ne San Rafael St, Portland, OR 97230-3123 | 2020-02-26 |
| 1356973770 | Laura Kille | Counselor | Wise Counsel and Comfort, 2045 Se Hawthorne Blvd., Portland, OR 97214 | 2020-02-05 |
| 1093346777 | Sprout Therapy Pdx LLC | Counselor | 7704 N Hereford Ave, Portland, OR 97203-3434 | 2020-01-30 |
| 1861030553 | Steve Bijoga | Counselor | 1350 Forest Ave Apt 16, Portland, ME 04103-1815 | 2019-12-13 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.