BLYTHE PATRICIA CLARK-MCKITRICK NPI 1609373166

NPI Information

  • NPI: 1609373166
  • Provider Name: BLYTHE PATRICIA CLARK-MCKITRICK
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 10763 SW GREENBURG RD STE 100
    TIGARD, OR
    ZIP 97223
  • Phone: (503) 941-8569

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NPI Details

Blythe Patricia Clark-mckitrick is an addiction (substance use disorder) counselor in Tigard, OR. Blythe Patricia Clark-mckitrick NPI is 1609373166. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10763 SW GREENBURG RD STE 100
TIGARD, OR
ZIP 97223-492
Phone: (503) 941-8569
Fax: (503) 598-0934

The enumeration date for this NPI number is 4/11/2018 and was last updated on 4/11/2018.

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)T-18-017OREGONYes

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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