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SYDNEY CLARK
NPI 1093410060
Counselor - Addiction (Substance Use Disorder) in Grand Ronde, OR

Active since March 31, 2023
9615 GRAND RONDE RD, GRAND RONDE, OR 97347(503) 879-2297 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 24, 2024, Mar 31, 2023 (2 updates tracked since 2023).

About Sydney Clark NPPES

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

SYDNEY CLARK (NPI 1093410060) is an individual addiction (substance use disorder) provider in Grand Ronde, Oregon, licensed in Oregon (T-23-2489) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1093410060
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSYDNEY CLARK
Location Address9615 GRAND RONDE RDGrand Ronde, OR 97347-9712
Mailing Address9615 Grand Ronde RdGrand Ronde, OR 97347-9712 · (503) 879-2297
Phone(503) 879-2297
Sole ProprietorNo
Enumeration DateMarch 31, 2023
Last NPPES UpdateJuly 24, 20242 updates tracked since enumeration
NPPES CertifiedJuly 24, 2024
✔ NPI 1093410060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OR · T-23-2489
Also ListedPeer SpecialistTaxonomy 175T00000X · License 108162 (OR)
9615 GRAND RONDE RD, Grand Ronde, OR 97347
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES 8

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

NICOLE MARIE ESTRADA LMFT, LPC
Marriage & Family Therapist
9615 GRAND RONDE RD
GRAND RONDE, OR 97347
Polk County (503) 879-2026
JOSEPH ULESTAD
Counselor (Addiction (Substance Use Disorder))
9615 GRAND RONDE RD
GRAND RONDE, OR 97347
Polk County (503) 879-2297
CONFEDERATED TRIBES OF GRAND RONDE COMMUNITY OF OREGON
Clinical Medical Laboratory
9615 GRAND RONDE RD
GRAND RONDE, OR 97347
Polk County (503) 879-2060
SHAWNA LASHELL MARTIN RN
Registered Nurse
9615 GRAND RONDE RD
GRAND RONDE, OR 97347
Polk County (503) 879-6709
SHELLY RAE FOX
Peer Specialist
9615 GRAND RONDE RD
GRAND RONDE, OR 97347
Polk County (503) 879-2002
KATIE MARTIN
Internal Medicine
9615 GRAND RONDE RD
GRAND RONDE, OR 97347
Polk County (503) 879-2008
SARAH J ROSS MS, CCC-SLP
Speech-Language Pathologist
9615 GRAND RONDE RD
GRAND RONDE, OR 97347
Polk County (503) 583-0143
MRS. TERRI KNOWLES O.D.
Optometrist
9615 GRAND RONDE RD
GRAND RONDE, OR 97347
Polk County (503) 879-2097

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 Sydney Clark's NPI number?

The NPI number for Sydney Clark is 1093410060. It was assigned to this individual provider in the NPPES registry on March 31, 2023.

Where is Sydney Clark located?

Sydney Clark practices at 9615 Grand Ronde Rd, Grand Ronde, OR 97347. The listed phone number is (503) 879-2297.

What is Sydney Clark's specialty?

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

What insurance does Sydney Clark accept?

Health plans from Moda Health Plan, Inc. list Sydney Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sydney Clark was last updated on July 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.