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Contact Information

REBECCA L CLARK, MS, CGC
3181 SW SAM JACKSON PARK RD
PORTLAND, OR97239-3011
 Phone: 503-494-3000
 Fax: 503-494-4286
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Genetic Counselor, MS

170300000X
Indicates primary specialty

NPI Profile & details for REBECCA L CLARK · (Female)

NPI Number 1972298115
Status Active
Credentials MS, CGC
Entity Individual
Enumeration date 04/05/2023
Last updated 07/17/2025 - About 11 months ago
Sole proprietor 1 No
Identifiers
  • OR License # 10237457
  • WA License # GT61502774
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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