Individual
JOSHUA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1509 SW SUNSET BLVD STE 2C, PORTLAND, OR 97239-2689
(503) 395-8850
Mailing address
8848 SW 51ST AVE, PORTLAND, OR 97219-3355
(503) 395-8850
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2597
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500730746
—
OR
Enumeration date
06/21/2016
Last updated
08/21/2025
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