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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. MARIKO FUKUYAMA CLARK, LMHC

Active Sole Proprietor

MRS. MARIKO FUKUYAMA CLARK, LMHC is a Mental Health Counselor healthcare provider located in PORTLAND, Oregon. NPI 1467819904 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · PORTLAND, OR

Registration Details

NPI Number
1467819904
Provider Type
Individual
Gender
Female
NPI Issued
Jan 27, 2016 (10.502738354744 yrs)
Last Updated
Jan 27, 2016
License
LH60601506 (WA)
Sole Proprietor
Yes

Practice Information

Address
3706 SW BEAVERTON AVE
PORTLAND, OR, 972391506
Browse OR providers · Browse ZIP 97239
Phone
5039613829
Primary Specialty
Mental Health Counselor
101YM0800X

Other Mental Health Counselor Providers in PORTLAND, OR

Name Credential NPI
MS. DIANNE E. LEROY M.S., L.P.C. 1649261595
MRS. CAROL JEAN MORAIS MA LPC CADC III 1811971096
MRS. JONNIE MCRAE VANDERZANDEN LPC 1437133584
KAY A MYERS MA, LPC 1932160926
MS. WENDY L. BAUMAN LPC, CADCI 1356309868
MS. KAREN ELLEN GRUETTER LPC LMFT CADC III 1134187503
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.