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

Mr. Jeremiah Frank Clark, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1750656708

Mr. Jeremiah Frank Clark, MSCCC-SLP is a Speech-Language Pathologist in Creswell, Oregon. Licensed in Oregon. Registered with an NPI since 2012.

Licensed in
OR
In the registry since
2012

Practice location Address checks out

74 N 3rd St
Creswell, OR 97426-9649
Phone: (541) 221-1262
Show map & directions

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 13589 (OR)

Record details

NPI number1750656708
Entity typeIndividual (Type 1)
GenderMale
Credentials MSCCC-SLP
Sole proprietorNo
NPI enumeratedMarch 8, 2012
Last updated in NPPESMarch 8, 2012
Mailing address74 N 3rd St, Creswell, OR 97426-9649

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