Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1821434317 Individual Practitioner Female Practitioner

Kathryn Anne Clark , MC, LPC

Counselor - Professional • Gresham, OR

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Kathryn Clark, MC, LPC is a certified Counselor - Professional practicing in Gresham, OR. With approximately 18 years of clinical experience since completing medical education in 2008, Kathryn Clark delivers high-quality medical care to the local community at 1700 NW CIVIC DR STE 310.

Kathryn Clark is affiliated with Western Psychological And Counseling Services Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

1700 Nw Civic Dr Ste 310

Gresham, OR 970303774

Telephone 5036668832
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Gresham, OR

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
18 Yrs +3.4 yrs vs City Avg
City Avg: 14.6 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
35 Specialists

Practicing in Gresham, OR (2601 Statewide)

Telehealth Adoption Rate
2.9% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Clark (18 Years) 18 Yrs
Gresham Specialty Average (14.6 Years) 14.6 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-03-13
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OR C4913

Definition to come...

Hospital & Practice Group Affiliations

Western Psychological And Counseling Services Llc

1700 Nw Civic Dr, Gresham, OR 970303774

Phone: 5036668832

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

38 Associated Practitioners
Chelsea Trujillo , LCSW

Social Worker - Clinical

NPI 1013376060

Licensed Clinical Social Worker

Sonny Snyder , QMHP-R

Counselor - Professional

NPI 1013771344

QMHPR

NPI 1063761716

Doctor of Psychology (Psy.D.)

Lindsey Romo , CSWA

Social Worker - Clinical

NPI 1083492292
Timothy Gazdziak , LPC

Counselor - Mental Health

NPI 1083814677

Licensed Professional Counselor

Shayna Carter , MA

Counselor - Professional

NPI 1114172285

Master of Arts

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 13, 2026

Counselor (License #C4913 in OR)

📍
Updated Practice Location March 07, 2024

Registered at 1700 NW CIVIC DR STE 310, GRESHAM, OR 970303774 (Tel: 5036668832)

📍
Updated Business Mailing Address March 07, 2024

Registered at 1700 NW CIVIC DR STE 310, GRESHAM, OR 970303774 (Tel: 5036668832)

👤
Provider Name / Credentials Updated March 07, 2024

Recorded as KATHRYN CLARK, MC, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2024

Counselor (License #C4913 in OR)

NPI Profile Active May 11, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location May 11, 2013

Registered at 3716 NE MARTIN LUTHER KING JR BLVD, PORTLAND, OR 972121111 (Tel: 5032888066)

📍
Updated Business Mailing Address May 11, 2013

Registered at 14600 NW CORNELL RD, PORTLAND, OR 972295442

👤
Provider Name / Credentials Updated May 11, 2013

Recorded as KATHRYN CLARK, MC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2013

Counselor

🟢
Initial NPI Registration & Enumeration May 11, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1821434317
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 11, 2013
Last Update: March 13, 2026
Sole Proprietor: No

Mailing Address

1700 Nw Civic Dr Ste 310

Gresham, OR 970303774

Phone: 5036668832

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.