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CLARK COLLEGE
NPI 1285047258
Community/Behavioral Health in Vancouver, WA

Active since June 08, 2014CLIA 50D0879463 · Microscopy
1933 FORT VANCOUVER WAY, HSC 124, VANCOUVER, WA 98663(360) 992-2614 Get Directions Write a Review

NPPES record last updated: June 8, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Clark College NPPES

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

CLARK COLLEGE (NPI 1285047258) is a healthcare organization registered as a community/behavioral health in Vancouver, Washington and active in the NPI registry since June 2014. The organization holds a CLIA Microscopy certificate valid through April 4, 2028 and lists Patricia Douglass, Clinical Supervisor, as its authorized official.

NPPES Registry Identity

NPI1285047258
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameCLARK COLLEGE
Location Address1933 FORT VANCOUVER WAY, HSC 124Vancouver, WA 98663-3529
Mailing Address1933 Fort Vancouver Way, Hsc 124Vancouver, WA 98663-3529 · (360) 992-2614
Phone(360) 992-2614
Organization SubpartNo
Authorized OfficialPatricia DouglassClinical Supervisor · (360) 992-2614
Enumeration DateJune 8, 2014
✔ NPI 1285047258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in WA · PY60267694
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1933 FORT VANCOUVER WAY, Vancouver, WA 98663
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 50D0879463

Clark College Health Services · Vancouver, WA
Active · expires Apr 4, 2028
CLIA Number50D0879463
Laboratory TypeSchool/Student Health Service
Certificate Effective DateNovember 19, 1993
Certificate Expiration DateApril 4, 2028
Laboratory DirectorAshley Schumacher
Laboratory Phone(360) 992-2264
Laboratory LocationClark College Health Services1933 Fort Vancouver Way, Hsc 124, Vancouver, WA 98663
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 6

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

ERIN GUIDARELLI MS, LAT, ATC
Specialist/Technologist (Athletic Trainer)
1933 FORT VANCOUVER WAY, ATHLETICS DEPARTMENT
VANCOUVER, WA 98663
Clark County (503) 891-6681
ASHLYN ANN GRIFFITH
Student in an Organized Health Care Education/Training Program
1933 FORT VANCOUVER WAY
VANCOUVER, WA 98663
Clark County (360) 699-6398
MS. KRISTIN A WOITTE ATC
Specialist/Technologist (Athletic Trainer)
1933 FORT VANCOUVER WAY
VANCOUVER, WA 98663
Clark County (360) 992-2913
MICHAEL LUDWIG RDH
Dental Hygienist
1933 FORT VANCOUVER WAY
VANCOUVER, WA 98663
Clark County (360) 992-2338
DR. RICHARD L. GRABOWSKY D.D.S.
Dentist (Pediatric Dentistry)
1933 FORT VANCOUVER WAY
VANCOUVER, WA 98663
Clark County (360) 992-2158
MADISON NOEL OSBORNE RDH
Dental Hygienist
1933 FORT VANCOUVER WAY
VANCOUVER, WA 98663
Clark County (360) 992-2158

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 College's NPI number?

The NPI number for Clark College is 1285047258. It was assigned to this organization in the NPPES registry on June 8, 2014.

Where is Clark College located?

Clark College is located at 1933 Fort Vancouver Way Hsc 124, Vancouver, WA 98663. The listed phone number is (360) 992-2614.

What is Clark College's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Clark College hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 50D0879463) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Clark College was last updated on June 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.