Individual
MASYN KATHLEEN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10700 SW BEAVERTON HILLSDALE HWY STE 696-1, BEAVERTON, OR 97005-3019
(503) 939-6425
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
106S00000X
Behavior Technician
A391223
OR
Other
Enumeration date
07/03/2021
Last updated
03/19/2024
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