REBECCA CLARK (NPI# 1285025619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285025619 |
| Entity Type | Individual |
| Full Name | REBECCA CLARK |
| Practice Address |
9555 Sw Barnes Rd Suite 150 Portland OR 97225-6663 |
| Practice Telephone | 5032977403 |
| Practice Fax Number | 5033849908 |
| Mailing Telephone | 5032977403 |
| Mailing Fax Number | 5033849908 |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2015-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 170300000X | Genetic Counselor, MS | OR | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978833 | Rebecca Clark | Massage Therapist | 244 Madison Ave # 391, New York, NY 10016-2817 | 2020-09-30 |
| 1184130759 | Rebecca Lee Clark | Registered Nurse | 2435 Kimberly Rd Ste 10n, Bettendorf, IA 52722-3572 | 2017-12-19 |
| 1144761099 | Rebecca Clark | Counselor | 24401 W 39th St S, Goddard, KS 67052-8713 | 2017-03-11 |
| 1437589199 | Rebecca Scoggin Clark | Nurse Practitioner | 413 Mcconnell Street, Jefferson, NC 28640 | 2013-11-16 |
| 1861557563 | Rebecca Clark | Respite Care | 2703 S 37th Dr, Yuma, AZ 85364-5983 | 2006-12-25 |
| 1831112671 | Rebecca Jand Clark | Counselor | 1501 San Pedro Se (116), Albuquerque, NM 87108 | 2006-07-25 |
| 1922067859 | Rebecca A Clark | Physician Assistant | 664 N Main St, Pearson, GA 31642 | 2006-03-20 |
| 1124004700 | Rebecca Elizabeth Clark | Nurse Practitioner | 1811 State St, Nashville, TN 37203-2205 | 2005-12-15 |
| 1841811098 | Rebecca L Clark | Behavior Technician | 9900 Gilmore Ridge Rd, Nashville, IN 47448-9731 | 2020-04-29 |
| 1073149167 | Rebecca Maria Clark | Genetic Counselor, MS | Upmc Children's Hospital of Pittsburgh, 4401 Penn Avenue, Pittsburgh, PA 15224-1334 | 2020-03-20 |
| Street Address |
9555 SW BARNES RD SUITE 150 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97225-6663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922001023 | Jay Christopher Andersen | Internal Medicine | 9555 Sw Barnes Rd, Ste 150, Portland, OR 97225-6663 | 2005-05-23 |
| 1437551199 | Saffron's Specialized Medical, Inc | Durable Medical Equipment & Medical Supplies | 9555 Sw Barnes Rd, Suite 215, Portland, OR 97225-6663 | 2014-09-24 |
| 1710398623 | Saffron Gustafson | Specialist | 9555 Sw Barnes Rd, Suite 215, Portland, OR 97225-6663 | 2014-05-13 |
| 1336577386 | Erin Cope | Social Worker | 9555 Sw Barnes Rd, Suite 100, Portland, OR 97225-6663 | 2013-10-29 |
| 1104252097 | Sarah Elizabeth Bodian | Advanced Practice Midwife | 9555 Sw Barnes Rd, Suite 100, Portland, OR 97225-6663 | 2013-09-24 |
| 1679821672 | Sandra Sue Karp | Nurse Practitioner | 9555 Sw Barnes Rd, Suite 100, Portland, OR 97225-6663 | 2012-08-22 |
| 1396009254 | Molly F Weeber | Registered Nurse | 9555 Sw Barnes Rd, Suite 100, Portland, OR 97225-6663 | 2012-06-26 |
| 1851667323 | Michelle Lynnette Monnie | Obstetrics & Gynecology | 9555 Sw Barnes Rd, Suite 100, Portland, OR 97225-6663 | 2012-03-28 |
| 1053688036 | Sunset Surgical Centre LLC | Clinic/Center | 9555 Sw Barnes Rd, Suite 275, Portland, OR 97225-6663 | 2011-11-19 |
| 1164719324 | Julianna Bridget Lucisano | Social Worker | 9555 Sw Barnes Rd, Suite 100, Portland, OR 97225-6663 | 2011-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508425034 | Gabrielle Gonzales | Behavior Technician | 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 | 2019-06-08 |
| 1558844555 | Tate Roseberry | Behavior Technician | 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 | 2018-09-14 |
| 1982186300 | Dean Alan Hopkins | Registered Nurse | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 | 2018-09-01 |
| 1316449168 | Surgery Center At St. Vincent, LLC | Clinic/Center | 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 | 2018-03-07 |
| 1730606716 | Meghan Louise Lacy | Pediatrics | 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 | 2017-08-29 |
| 1841733433 | Tia Pugh | Occupational Therapist | 9155 S.w. Barnes Road, East Pavilion, Portland, OR 97225 | 2016-11-30 |
| 1295185585 | Stephanie Lynn Hart | Nurse Practitioner | 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 | 2016-06-16 |
| 1962866244 | Bejian Shamloo | Chiropractor | 10200 Sw Eastridge St., Suite 235, Portland, OR 97225 | 2016-04-12 |
| 1992162630 | Robert Joseph Yoder | Psychologist | 9045 Barnes Rd, Portland, OR 97225 | 2016-01-26 |
| 1316303951 | Katie Herold | Chiropractor | 9315 Sw Morrison St, Portland, OR 97225 | 2016-01-12 |
| Find all providers in zip 97225 | ||||
| Taxonomy Code | 170300000X |
| Grouping | Other Service Providers |
| Classification | Genetic Counselor, MS |
| A masters trained health care provider who collects and interprets genetic family histories; assesses the risk of disease occurrence or recurrence; identifies interventions to manage or ameliorate disease risk; educates about inheritance, testing, management, prevention, ethical issues, resources, and research; and counsels to promote informed choices and adaptation. Certification was established in 1993 by the American Board of Genetic Counseling and prior to that by the American Board of Medical Genetics. Requirements for experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: National Society of Genetic Counselors [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316544075 | Jordann Wallis | Genetic Counselor, MS | 5840 Ne 32nd Ave, Portland, OR 97211-6702 | 2020-10-06 |
| 1821017500 | Valerie Catherine Banks | Genetic Counselor, MS | 887 Congress Street, Suite 320, Portland, ME 04102 | 2006-07-19 |
| 1417908377 | Jamilyn M Daniels | Genetic Counselor, MS | 5843 Sw Florida St, Portland, OR 97219-1221 | 2006-05-15 |
| 1407807720 | Cheryl A Miranda | Genetic Counselor, MS | 3325 N Interstate Ave, Portland, OR 97227-1020 | 2006-05-12 |
| 1184604340 | Tamra Gibby Hill | Genetic Counselor, MS | 2737 Ne 7th Ave, Portland, OR 97212-3120 | 2006-01-21 |
| 1538148226 | Heather Cooper Dorsey | Genetic Counselor, MS | 300 N Graham St Ste 100, Portland, OR 97227-1667 | 2006-01-11 |
| 1841278025 | Patricia Himes | Genetic Counselor, MS | Department of Medical Genetics, 3325 N Interstate Ave, Portland, OR 97227 | 2006-01-06 |
| 1134118011 | Emily L Mounts | Genetic Counselor, MS | 808 Sw 15th Ave, Portland, OR 97205 | 2005-10-13 |
| 1699324061 | Natalie Waligorski | Genetic Counselor, MS | 3600 N Interstate Ave, Portland, OR 97227-1106 | 2019-09-09 |
| 1801457130 | Alena Rose Faulkner | Genetic Counselor, MS | 3600 N Interstate Ave, Portland, OR 97227-1106 | 2019-06-26 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.