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GRACE CLARK
NPI 1831879220
Student in an Organized Health Care Education/Training Program in Portland, OR

Active since July 20, 2023
3716 NE MLK JR BLVD, PORTLAND, OR 97212(503) 288-8066 Get Directions Write a Review

NPPES record last updated: July 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Grace Clark NPPES

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

GRACE CLARK (NPI 1831879220) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1831879220
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameGRACE CLARK
Location Address3716 NE MLK JR BLVDPortland, OR 97212-1111
Mailing Address5302 E Main St Apt 253Hillsboro, OR 97123-6418 · (575) 317-9621
Phone(503) 288-8066
Sole ProprietorNo
Enumeration DateJuly 20, 2023
NPPES CertifiedJuly 20, 2023
✔ NPI 1831879220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3716 NE MLK JR BLVD, Portland, OR 97212
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Other Providers at the Same Location NPPES 20

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

HANNAH ROSE-MARIE HARNSBERGER MS
Counselor
3716 NE MLK JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 288-8066
HIKARU KUKITA
Counselor
3716 NE MLK JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 288-8066
KASEY LEE PUJOL
Counselor
3716 NE MLK JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 645-3581
CELESS JOLLYMORE
Counselor (Mental Health)
3716 NE MLK JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 288-8066
MRS. SHANDRA NICOLE SHULTZ CADC-R, CRM, PSS
Counselor
3716 NE MLK JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 288-8066
IAN RICHARD STARR M.D.
Psychiatry & Neurology (Psychiatry)
3716 NE MLK JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 288-8066
MRS. CHERITY WHITEAKER
Counselor (Mental Health)
3716 NE MLK JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 288-8066
JESSICA HARLEM-SIEGEL
Counselor
3716 NE MLK JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 288-8066

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 Grace Clark's NPI number?

The NPI number for Grace Clark is 1831879220. It was assigned to this individual provider in the NPPES registry on July 20, 2023.

Where is Grace Clark located?

Grace Clark practices at 3716 NE Mlk Jr Blvd, Portland, OR 97212. The listed phone number is (503) 288-8066.

What is Grace Clark's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Grace Clark was last updated on July 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.