Clark, Scott

Clark, Scott is an individual health care provider with primary practice located at 5457 Sw Canyon Ct , Portland OR 97221-2401. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavioral Analyst is his primary health care specialty. Clark, Scott can be contacted via phone (971) 762-4663.

Contact Information

Primary practice address
5457 Sw Canyon Ct Portland OR 97221-2401
Phone: (971) 762-4663
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-24-71112 Oregon
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1336752286
LBN Legal business name Clark, Scott
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2020
Last updated Feb 27th, 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.

Request for update

Popular Providers