IndividualActive
Carly Clark, PSS
NPI 1689375529 · Peer Specialist · Gresham, OR
Carly Clark, PSS is a Peer Specialist provider in Gresham, OR (NPI 1689375529).
Provider details
- NPI number
- 1689375529
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Credential
- PSS
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
- Behavior Technician106S00000X
Behavioral Health & Social Service Providers
Profile Score
Established profile(52/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
620 Ne 2nd St
Gresham, OR 97030-7514
Phone: (971) 274-3757
Street-level locationGet directions
Mailing address
1776 Sw Madison St
Portland, OR 97205-1715
Registry dates
- Enumerated
- 2023-03-16
- Last updated
- 2023-03-16
- Certified
- 2023-03-16
Frequently asked questions
- What is Carly Clark's NPI number?
- Carly Clark's National Provider Identifier (NPI) is 1689375529, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Carly Clark's specialty?
- Carly Clark is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).
- Where is Carly Clark located?
- Carly Clark's practice location on file with NPPES is 620 Ne 2nd St, Gresham, OR 97030-7514.
- What is Carly Clark's phone number?
- The practice phone number listed in the NPPES registry for Carly Clark is (971) 274-3757.
- Is Carly Clark's NPI active?
- Yes — Carly Clark's NPI (1689375529) is active in the NPPES registry as of the last update on 2023-03-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.