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

Tylee Cooper Clark, CSWA

Individual provider Counselor · NPI 1043825169

Tylee Cooper Clark, CSWA is a Counselor in Tigard, Oregon. Works from 2 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2020
Specialties on file
2

Practice location Address checks out

11740 SW 68th Pkwy Ste 200
Tigard, OR 97223-9058
Phone: (425) 477-4216
Fax: (971) 352-6984
Show map & directions

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

Additional practice locations (1)

  • 2301 Cove Ave, La Grande, OR 97850-3906 — (541) 962-8800

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence A15351 (OR)
Counselor Taxonomy 101Y00000X · Licence A15351 (OR)

Record details

NPI number1043825169
Entity typeIndividual (Type 1)
GenderFemale
Credentials CSWA
Sole proprietorNo
NPI enumeratedSeptember 15, 2020
Last updated in NPPESMay 26, 2026
Certification dateMay 26, 2026
Mailing address2301 Cove Ave, La Grande, OR 97850-3906

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