MOLLY CLARK MED
NPI 1649158486
Counselor - School in Portland, OR

Active since August 21, 2025
2732 NE FREMONT ST, PORTLAND, OR 97212(503) 916-6036 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Molly Clark Med NPPES

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

MOLLY CLARK MED (NPI 1649158486) is an individual school provider in Portland, Oregon, licensed in Oregon (83353) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1649158486
Entity TypeIndividual
Primary Taxonomy101YS0200X
Provider Legal NameMOLLY CLARKCredential: MED
Location Address2732 NE FREMONT STPortland, OR 97212-2542
Mailing Address2732 Ne Fremont StPortland, OR 97212-2542
Sole ProprietorNo
Enumeration DateAugust 21, 2025
NPPES CertifiedAugust 21, 2025
NPI 1649158486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · SchoolBehavioral Health & Social Service Providers
Taxonomy Code101YS0200X
License Licensed in OR · 83353
2732 NE FREMONT ST, Portland, OR 97212

Other Providers at the Same Location NPPES 2

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

Counselor (School)
2732 NE FREMONT ST
PORTLAND, OR 97212
Speech-Language Pathologist
2732 NE FREMONT ST
PORTLAND, OR 97212

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 Molly Clark's NPI number?

The NPI number for Molly Clark is 1649158486. It was assigned to this individual provider in the NPPES registry on August 21, 2025.

Where is Molly Clark located?

Molly Clark practices at 2732 NE Fremont St, Portland, OR 97212. The listed phone number is (503) 916-6036.

What is Molly Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in School, with taxonomy code 101YS0200X.

When was this NPI record last updated?

The NPPES record for Molly Clark was last updated on August 21, 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.