CAROLE DELOGU-CLARK
RIVER CAROLE MARIE-JEANNE DELOGU-CLARK · Counselor (Addiction (Substance Use Disorder))

Address: 19500 Se Stark St # C, Portland, OR 97233-5757

CAROLE DELOGU-CLARK (NPI# 1881278505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881278505
Entity Type Individual
Full Name CAROLE DELOGU-CLARK
Other Name RIVER CAROLE MARIE-JEANNE DELOGU-CLARK (Professional Name)
Gender Female
Practice Address 19500 Se Stark St # C
Portland
OR 97233-5757
Practice Telephone 5032493434
Mailing Address 11720 Se Alder St
Portland
OR 97216-3868
Mailing Telephone 5038803169
Certification Date 2021-05-09
Enumeration Date 2021-05-09
Last Update Date 2021-05-09
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

Office Location

Street Address 19500 SE STARK ST # C
City PORTLAND
State OR
Zip Code 97233-5757

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629464284 Rachel Kumari Sircar Family Medicine 19500 Se Stark St, Portland, OR 97233-5757 2015-04-10
1043640873 Kevin Tomlin Counselor - Addiction (Substance Use Disorder) 19500 Se Stark St, Portland, OR 97233-5757 2013-11-14
1083163018 Jacob Michael Isse Pharmacist 19500 Se Stark St, Portland, OR 97233-5757 2016-10-03
1861941759 Angelynn Ross Pharmacist - Ambulatory Care 19500 Se Stark St, Portland, OR 97233-5757 2016-10-03
1437672193 Gregory C Dalton Counselor - Addiction (Substance Use Disorder) 19500 Se Stark St, Portland, OR 97233-5757 2017-07-24
1003923384 Gayle A Norie Nurse Practitioner - Family 19500 Se Stark St, Portland, Portland, OR 97233-5757 2006-08-24
1104205269 Verni Logendran Internal Medicine 19500 Se Stark St, Portland, OR 97233-5757 2015-05-22
1194197640 Natasha White · Natasha Adamson Clinical Neuropsychologist 19500 Se Stark St, Portland, OR 97233-5757 2015-10-23
1487206108 Yue Song Student in an Organized Health Care Education/Training Program 19500 Se Stark St, Portland, OR 97233-5757 2019-07-12
1902462914 Jessica Pham Student in an Organized Health Care Education/Training Program 19500 Se Stark St, Portland, OR 97233-5757 2019-05-15
Find all in zip 97233-5757

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1043453582 Paul E Vanbredavriesman Family Medicine - Adult Medicine 18000 Se Stark Street, Gresham, OR 97233 2009-04-14
1427563733 Central City Concern Inc · Hansen Shelter Clinic Clinic/Center - Federally Qualified Health Center (FQHC) 1415 Se 122nd Ave, Portland, OR 97233 2017-12-08
1306198049 Randi Jean Reed Occupational Therapist 725 Se 202nd Ave., Portland, OR 97233 2012-10-04
1023461019 Julianne Baltzley Counselor - Mental Health 2409 Se 149th Avenue, Portland, OR 97233 2016-07-14
1063725141 Multnomah County · Multnomah County Health Department, David Douglas Clinic/Center - Primary Care 1034 Se 130th Avenue, Portland, OR 97233 2010-07-19
1700206950 Olga I Zlatova I Dental Hygienist 325 Se 154th Ave, Portland, OR 97233 2014-04-25
1427573443 Sunshine Ahc In Home Supportive Care 2217 Se 156th Ave, Portland, OR 97233 2017-08-10
1124396122 Ashley Briann Orvis Counselor - Mental Health 13541 Se Market Street, Portland, OR 97233 2011-12-05
1417220682 Catherine Mizell · Catherine Mizell Jones Registered Nurse 14516 East Burnside St, Portland, OR 97233 2012-02-17
1003183849 Southeast Dental Professionals · Solutions for Smiles Dentist 1238 Se 122nd Ave, Portland, OR 97233 2011-11-22
Find all in zip 97233

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114514742 Ella Iliana Smith · Ella Iliana Grant Counselor - Addiction (Substance Use Disorder) 6025 Se Belmont St, Portland, OR 97215-1927 2020-12-29
1124626197 Olivia Chance Counselor - Addiction (Substance Use Disorder) 91 Auburn St Ste J, Portland, ME 04103-6014 2020-10-13
1073111092 Meadowlark Counseling LLC Counselor - Addiction (Substance Use Disorder) 1840 Se 44th Ave, Portland, OR 97215-3127 2020-10-12
1013528603 Joseph K Chow Counselor - Addiction (Substance Use Disorder) 1316 Se 12th Ave, Portland, OR 97214-3604 2020-08-16
1043820707 Maurice Golden Counselor - Addiction (Substance Use Disorder) 6601 Ne 78th Ct Ste A3, Portland, OR 97218-2823 2020-08-06
1477163657 Kevin Charles Reiser Counselor - Addiction (Substance Use Disorder) 2318 Ne Martin Luther King Blvd, Portland, OR 97212-3715 2020-08-03
1881203628 Beau Curtiss Counselor - Addiction (Substance Use Disorder) 7916 Se Foster Rd Ste 203, Portland, OR 97206-4289 2020-07-28
1851916886 Jonathan Cross Counselor - Addiction (Substance Use Disorder) 49 Montrose Ave Apt 3, Portland, ME 04103-2442 2020-06-16
1063035293 Candy Lynn Gordon Counselor - Addiction (Substance Use Disorder) 3311 Ne Mlk Jr Blvd Ste 104, Portland, OR 97212-2086 2020-05-21
1639703960 Elizabeth Ann Anderson Counselor - Addiction (Substance Use Disorder) 1820 Sw Vermont St Ste J, Portland, OR 97219-1945 2020-02-25
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97233

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.