IndividualActive
Jeremiah Clark, M.S. CCC-SLP
NPI 1750656708 · Speech-Language Pathologist · Creswell, OR
Provider details
- NPI number
- 1750656708
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- M.S. CCC-SLP
- Sex
- Male
- Sole proprietor
- No
- License
- 13589 (OR)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% 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
74 N 3rd St
Creswell, OR 97426-9649
Phone: (541) 221-1262
Street-level locationGet directions
Mailing address
74 N 3rd St
Creswell, OR 97426-9649
Registry dates
- Enumerated
- 2012-03-08
- Last updated
- 2012-03-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.