MR. LEONARD CLARK CERTIFIED ALCOHOL & NPI 1518226216

NPI Information

  • NPI: 1518226216
  • Provider Name: MR. LEONARD CLARK, CERTIFIED ALCOHOL &
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 4134 N. VANCOUVER AVE., SUITE 303C
    PORTLAND, OR
    ZIP 97217
  • Phone: (503) 593-7764

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NPI Details

MR. Leonard Clark, CERTIFIED ALCOHOL & is an addiction (substance use disorder) counselor in Portland, OR. MR. Leonard Clark, CERTIFIED ALCOHOL & NPI is 1518226216. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4134 N. VANCOUVER AVE., SUITE 303C
PORTLAND, OR
ZIP 97217-900
Phone: (503) 593-7764

The enumeration date for this NPI number is 5/15/2012 and was last updated on 5/15/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
106-R-06OTHEROREGONCADC II

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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