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Contact Information

SCOTT CLARK
5457 SW CANYON CT
PORTLAND, OR97221-2401
 Phone: 971-762-4663
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
 

Behavior Technician

106S00000X
Indicates primary specialty

NPI Profile & details for SCOTT CLARK · (Male)

NPI # 1336752286
Status Active
Credentials
Entity Individual
Enumeration date 08/28/2020
Last updated 02/27/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • OR License # 1-24-71112
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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