Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Rebecca-Kelly Grant Clark, OTR/L

Individual provider Pediatric Occupational Therapist · NPI 1104396589

MS. Rebecca-Kelly Grant Clark, OTR/L is a Pediatric Occupational Therapist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2018.

Licensed in
OR
In the registry since
2018
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

3101 SW Sam Jackson Park Rd
Portland, OR 97239-3095
Phone: (503) 221-3429
Fax: (503) 294-3240
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 275015 (OR)

Record details

NPI number1104396589
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedNovember 28, 2018
Last updated in NPPESNovember 28, 2018

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