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

Kelly Clark, BS, CADCI

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1861796641

Kelly Clark, BS, CADCI is an Addiction (Substance Use Disorder) Counselor in Gresham, Oregon. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
BS — Bachelor of Science
An undergraduate science degree.

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Practice location Address checks out

400 NE 7th St
Gresham, OR 97030-5604
Phone: (503) 661-5455
Fax: (503) 661-4959
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1861796641
Entity typeIndividual (Type 1)
GenderFemale
Credentials BS , CADCI
Sole proprietorNo
NPI enumeratedJanuary 7, 2011
Last updated in NPPESJanuary 7, 2011

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