WILLIAM LEE CLARK CRM, THW, CADC-R
NPI 1629810171
Counselor - Mental Health in Portland, OR

Active since June 06, 2024
17518 SE RIVER RD, PORTLAND, OR 97267(971) 990-7628 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 13, 2025, Jun 6, 2024 (2 updates tracked since 2024).

About William Lee Clark Crm, Thw, Cadc-r NPPES

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

WILLIAM LEE CLARK CRM, THW, CADC-R (NPI 1629810171) is an individual mental health provider in Portland, Oregon and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1629810171
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameWILLIAM LEE CLARKCredential: CRM, THW, CADC-R
Location Address17518 SE RIVER RDPortland, OR 97267-5635
Mailing Address17518 Se River RdPortland, OR 97267-5635 · (719) 907-6289
Sole ProprietorNo
Enumeration DateJune 6, 2024
Last NPPES UpdateAugust 20, 20252 updates tracked since enumeration
NPPES CertifiedAugust 20, 2025
NPI 1629810171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
17518 SE RIVER RD, Portland, OR 97267

Other Providers at the Same Location NPPES

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

Case Management
17518 SE RIVER RD
PORTLAND, OR 97267

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 William Clark's NPI number?

The NPI number for William Clark is 1629810171. It was assigned to this individual provider in the NPPES registry on June 6, 2024.

Where is William Clark located?

William Clark practices at 17518 SE River Rd, Portland, OR 97267. The listed phone number is (971) 990-7628.

What is William Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for William Clark was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.