IndividualActive
Nicole Clark
NPI 1023513637 · Counselor · Portland, OR
Nicole Clark is a Counselor provider in Portland, OR (NPI 1023513637).
Provider details
- NPI number
- 1023513637
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Student, Health Care
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3650 Ne Mallory Ave Apt 309
Portland, OR 97212-3086
Phone: (971) 331-0422
Street-level locationGet directions
Mailing address
3650 Ne Mallory Ave Apt 309
Portland, OR 97212-3086
Registry dates
- Enumerated
- 2018-03-26
- Last updated
- 2018-12-04
Frequently asked questions
- What is Nicole Clark's NPI number?
- Nicole Clark's National Provider Identifier (NPI) is 1023513637, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicole Clark's specialty?
- Nicole Clark is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Nicole Clark located?
- Nicole Clark's practice location on file with NPPES is 3650 Ne Mallory Ave Apt 309, Portland, OR 97212-3086.
- What is Nicole Clark's phone number?
- The practice phone number listed in the NPPES registry for Nicole Clark is (971) 331-0422.
- Is Nicole Clark's NPI active?
- Yes — Nicole Clark's NPI (1023513637) is active in the NPPES registry as of the last update on 2018-12-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.