Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carly A Clark, PSS

Individual provider Behavior Technician · NPI 1689375529

Carly A Clark, PSS is a Behavior Technician in Gresham, Oregon. Licensed in Oregon and Washington. Registered with an NPI since 2023.

Licensed in
OR, WA
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

620 NE 2nd St
Gresham, OR 97030-7514
Phone: (971) 274-3757
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence THW000107924 (OR)
Behavior Technician Taxonomy 106S00000X (WA)

Record details

NPI number1689375529
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSS
Sole proprietorNo
NPI enumeratedMarch 16, 2023
Last updated in NPPESMarch 16, 2023
Certification dateMarch 16, 2023
Mailing address1776 Sw Madison St, Portland, OR 97205-1715

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