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MR. CLARK MINER BS, CADC2, QMHA2,
NPI 1073011847
Counselor - Addiction (Substance Use Disorder) in Milwaukie, OR

Active since January 26, 2018
10600 SE MCLOUGHLIN BLVD STE 207, MILWAUKIE, OR 97222(855) 770-0577(503) 654-1852 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 21, 2026, Oct 9, 2024, May 18, 2023 (3 updates tracked since 2023).

About Mr. Clark Miner Bs, Cadc2, Qmha2, NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. CLARK MINER BS, CADC2, QMHA2, (NPI 1073011847) is an individual addiction (substance use disorder) provider in Milwaukie, Oregon, licensed in Oregon (21-11-20118) and active in the NPI registry since January 2018.

NPPES Registry Identity

NPI1073011847
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. CLARK MINERCredential: BS, CADC2, QMHA2,
Location Address10600 SE MCLOUGHLIN BLVD STE 207Milwaukie, OR 97222-7428
Mailing Address10600 Se Mcloughlin Blvd Ste 207Milwaukie, OR 97222-7428 · (855) 770-0577 · Fax (503) 654-1852
Phone(855) 770-0577
Fax(503) 654-1852
Sole ProprietorYes
Enumeration DateJanuary 26, 2018
Last NPPES UpdateApril 21, 20263 updates tracked since enumeration
NPPES CertifiedApril 21, 2026
✔ NPI 1073011847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Licenses✔ Licensed in OR · 21-11-20118✔ Licensed in OR · 16-01-07
10600 SE MCLOUGHLIN BLVD STE 207, Milwaukie, OR 97222
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BENJAMIN D RANDOLPH CADCIII
Counselor (Addiction (Substance Use Disorder))
10600 SE MCLOUGHLIN BLVD STE 207
MILWAUKIE, OR 97222
Clackamas County (503) 901-1836
EMILY ELIZABETH HART
Counselor (Addiction (Substance Use Disorder))
10600 SE MCLOUGHLIN BLVD STE 207
MILWAUKIE, OR 97222
Clackamas County (844) 601-0720
KEATON RANDOLPH
Counselor (Addiction (Substance Use Disorder))
10600 SE MCLOUGHLIN BLVD STE 207
MILWAUKIE, OR 97222
Clackamas County (855) 770-0577
JENNIFER RANDOLPH CADC-II, CIP, CAI-II
Counselor (Addiction (Substance Use Disorder))
10600 SE MCLOUGHLIN BLVD STE 207
MILWAUKIE, OR 97222
Clackamas County (855) 770-0577
JONATHAN ANDREW CARGILL CRM
Peer Specialist
10600 SE MCLOUGHLIN BLVD STE 207
MILWAUKIE, OR 97222
Clackamas County (844) 601-0720

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clark Miner's NPI number?

The NPI number for Clark Miner is 1073011847. It was assigned to this individual provider in the NPPES registry on January 26, 2018.

Where is Clark Miner located?

Clark Miner practices at 10600 SE Mcloughlin Blvd Ste 207, Milwaukie, OR 97222. The listed phone number is (855) 770-0577.

What is Clark Miner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Clark Miner was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.