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

Nicole Elizabeth Clark

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1023513637

Nicole Elizabeth Clark is a Student in an Organized Health Care Education/Training Program in Portland, Oregon. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2

Practice location Address checks out

3650 NE Mallory Ave Apt 309
Portland, OR 97212-3086
Phone: (971) 331-0422
Show map & directions

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

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1023513637
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 26, 2018
Last updated in NPPESDecember 4, 2018

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