RIVER CAROLE MARIE-JEANNE DELOGU-CLARK
NPI 1881278505
Counselor - Mental Health in Portland, OR

Q: What is River Delogu-clark's NPI number?

The NPI number for River Delogu-clark is 1881278505. It was assigned to this individual provider in the NPPES registry on May 9, 2021. The provider is also known as River Carole Marie-Jeanne Delogu-Clark.

Q: What is River Delogu-clark's specialty?

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

Q: Is River Delogu-clark enrolled in Medicare?

No. River Delogu-clark has opted out of Medicare through March 10, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since May 09, 2021Opted out of Medicare · through Mar 10, 2028

2250 NW FLANDERS ST STE 201, PORTLAND, OR 97210(503) 427-1952 Get Directions Write a Review

NPPES record last updated: May 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 23, 2025, Jun 7, 2024, Apr 13, 2022 and 1 more (4 updates tracked since 2021).

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About River Carole Marie-jeanne Delogu-clark NPPES

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

RIVER CAROLE MARIE-JEANNE DELOGU-CLARK (NPI 1881278505) is an individual mental health provider in Portland, Oregon and active in the NPI registry since May 2021. She has opted out of Medicare through March 10, 2028.

NPPES Registry Identity

NPI1881278505

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameRIVER CAROLE MARIE-JEANNE DELOGU-CLARK

Location Address2250 NW FLANDERS ST STE 201Portland, OR 97210-5410

Mailing Address11720 Se Alder StPortland, OR 97216-3868 · (503) 383-1309

Phone(503) 427-1952

Sole ProprietorYes

Enumeration DateMay 9, 2021

Last NPPES UpdateMay 23, 20254 updates tracked since enumeration

NPPES CertifiedMay 23, 2025

✔ NPI 1881278505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

2250 NW FLANDERS ST STE 201, Portland, OR 97210

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Other Names 1

Professional Name (2)River Carole Marie-jeanne Delogu-clark

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

River Carole Marie-jeanne Delogu-clark has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 10, 2026 through March 10, 2028.

Opt-Out Effective DateMarch 10, 2026

Opt-Out In Effect ThroughMarch 10, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

DAVID A RYAN LCSW

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