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DR. CLAY FEDAK PSY.D.
NPI 1750655817
Counselor - Mental Health in Portland, OR

Active since March 06, 2012
1120 SW 3RD AVE, PORTLAND, OR 97204(608) 957-6139 Get Directions Write a Review

NPPES record last updated: January 3, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Clay Fedak Psy.d. NPPES

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

DR. CLAY FEDAK PSY.D. (NPI 1750655817) is an individual mental health provider in Portland, Oregon and active in the NPI registry since March 2012.

NPPES Registry Identity

NPI1750655817
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDR. CLAY FEDAKCredential: PSY.D.
Location Address1120 SW 3RD AVEPortland, OR 97204-2828
Mailing Address930 Nw 25th Pl Apt 108Portland, OR 97210-2873
Phone(608) 957-6139
Sole ProprietorNo
Enumeration DateMarch 6, 2012
Last NPPES UpdateJanuary 3, 2019
✔ NPI 1750655817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1120 SW 3RD AVE, Portland, OR 97204
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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.

MULTNOMAH COUNTY
Clinic/Center (Prison Health)
1120 SW 3RD AVE, DENTENTION CENTER
PORTLAND, OR 97204
Multnomah County (503) 988-3976
SANDRA J MCALLISTER PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1120 SW 3RD AVE, 4TH FLOOR
PORTLAND, OR 97204
Multnomah County (503) 988-4893
MULTNOMAH COUNTY
Clinic/Center (Dental)
1120 SW 3RD AVE, DETENTION CENTER
PORTLAND, OR 97204
Multnomah County (503) 988-3976
DR. ROBERTA MAIXNER DNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1120 SW 3RD AVE
PORTLAND, OR 97204
Multnomah County (503) 988-3689
CHARLOTTE KLINE PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1120 SW 3RD AVE
PORTLAND, OR 97204
Multnomah County (503) 988-3689
DR. MARY ANNA GORDON DNP, RN
Registered Nurse
1120 SW 3RD AVE, 4TH FLOOR MEDICAL
PORTLAND, OR 97204
Multnomah County (503) 988-5897
NATHANAEL LYONS RN
Registered Nurse (Community Health)
1120 SW 3RD AVE
PORTLAND, OR 97204
Multnomah County (503) 988-4084
MS. MELANIE JANE PARKER PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1120 SW 3RD AVE
PORTLAND, OR 97204
Multnomah County (503) 988-4832

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 Clay Fedak's NPI number?

The NPI number for Clay Fedak is 1750655817. It was assigned to this individual provider in the NPPES registry on March 6, 2012.

Where is Clay Fedak located?

Clay Fedak practices at 1120 SW 3rd Ave, Portland, OR 97204. The listed phone number is (608) 957-6139.

What is Clay Fedak'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 Clay Fedak was last updated on January 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.