JAN CLAY NPI 1629542055

NPI Information

NPI: 1629542055
Provider Name: JAN CLAY
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
7759 SE 72ND AVE
PORTLAND, OR
ZIP 97206
Phone: (503) 788-4500
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Jan Clay is a mental health counselor in Portland, OR. Jan Clay NPI is 1629542055. 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:

7759 SE 72ND AVE
PORTLAND, OR
ZIP 97206-921
Phone: (503) 788-4500
Fax: (505) 788-4506

The enumeration date for this NPI number is 1/18/2019 and was last updated on 1/18/2019.

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
1	101YM0800X	Counselor	Mental Health			Yes

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: 11/14/2023

NPI Synchronization or Removal

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