NPI 1043825169

Tylee Cooper Clark, CSWA

Practitioner Clinical Social Worker Tigard, OR

Practice location

Address: 11740 SW 68th Pkwy STE 200, Tigard, OR 97223-9058
Phone: (425) 477-4216
Fax: (971) 352-6984
Mailing address: 2301 Cove Ave, La Grande, OR 97850-3906

Registered specialties (2)

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence A15351 (OR)

Other Social Worker providers in Oregon →

Counselor

Behavioral Health & Social Service Providers Taxonomy 101Y00000X Licence A15351 (OR)

Other Counselor providers in Oregon →

Registry record

NPI: 1043825169
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Sep 2020
Record last updated: 26 May 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.