MALISSA LYNN CLARKE
NPI 1912784893
Technician - Personal Care Attendant in Portland, OR

Active since September 13, 2023
322 SW 11TH AVE, PORTLAND, OR 97205(971) 380-3150(503) 479-2049 Get Directions Write a Review

NPPES record last updated: September 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Malissa Lynn Clarke NPPES

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

MALISSA LYNN CLARKE (NPI 1912784893) is an individual personal care attendant in Portland, Oregon and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1912784893
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameMALISSA LYNN CLARKE
Location Address322 SW 11TH AVEPortland, OR 97205-2601
Mailing AddressPo Box 8459Portland, OR 97207-8459 · (503) 238-0769
Fax(503) 479-2049
Sole ProprietorNo
Enumeration DateSeptember 13, 2023
NPPES CertifiedSeptember 13, 2023
NPI 1912784893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
322 SW 11TH AVE, Portland, OR 97205

Other Providers at the Same Location NPPES 5

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

Case Manager/Care Coordinator
322 SW 11TH AVE
PORTLAND, OR 97205
Peer Specialist
322 SW 11TH AVE
PORTLAND, OR 97205
Case Manager/Care Coordinator
322 SW 11TH AVE
PORTLAND, OR 97205
Case Manager/Care Coordinator
322 SW 11TH AVE
PORTLAND, OR 97205
Technician (Personal Care Attendant)
322 SW 11TH AVE
PORTLAND, OR 97205

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 Malissa Clarke's NPI number?

The NPI number for Malissa Clarke is 1912784893. It was assigned to this individual provider in the NPPES registry on September 13, 2023.

Where is Malissa Clarke located?

Malissa Clarke practices at 322 SW 11th Ave, Portland, OR 97205. The listed phone number is (971) 380-3150.

What is Malissa Clarke's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Malissa Clarke was last updated on September 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.