Clark, Masyn Kathleen

Clark, Masyn Kathleen is an individual health care provider with primary practice located at 10700 Sw Beaverton Hillsdale Hwy Ste 696-1 , Beaverton OR 97005-3019. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Clark, Masyn Kathleen can be contacted via phone (503) 939-6425.

Contact Information

Primary practice address
10700 Sw Beaverton Hillsdale Hwy Ste 696-1 Beaverton OR 97005-3019
Phone: (503) 939-6425
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X A391223 Oregon
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1497326128
LBN Legal business name Clark, Masyn Kathleen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2021
Last updated Mar 19th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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