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

Crystal L Clark, RC

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1699928937

Crystal L Clark, RC is a Mental Health Counselor in Eugene, Oregon. Qualified in 2009, 17 years ago. Works from 2 locations. Licensed in Washington.

Years since qualifying
17
Licensed in
WA
In the registry since
2008
Specialties on file
2
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Practice location Address checks out

260 E 11th Ave
Eugene, OR 97401-3247
Phone: (541) 484-4428
Fax: (541) 484-7212
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9706 4th Ave Ne, Seattle, WA 98115-2157 — (206) 302-2900

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence RC60018186 (WA)

Record details

NPI number1699928937
Entity typeIndividual (Type 1)
GenderFemale
Credentials RC
Sole proprietorNo
NPI enumeratedOctober 30, 2008
Last updated in NPPESMarch 17, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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