Tylee Cooper Clark, CSWA - Counselor in Tigard, OR

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Tylee Cooper Clark, CSWA is a Social Worker - Clinical based in Tigard, Oregon. Tylee Cooper Clark is licensed to practice in Oregon (license number A15351) and her current practice location is 11740 Sw 68th Pkwy Ste 200, Tigard, Oregon. She can be reached at her office (for appointments etc.) via phone at (425) 477-4216.

NPI number for Tylee Cooper Clark is 1043825169 and her current mailing address is 2301 Cove Ave, La Grande, Oregon. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043825169.

Contact Information

Tylee Cooper Clark, CSWA
11740 Sw 68th Pkwy Ste 200,
Tigard, OR 97223-9058
(425) 477-4216
(971) 352-6984

Map and Direction


Healthcare Provider's Profile

Full NameTylee Cooper Clark
GenderFemale
SpecialitySocial Worker - Clinical
Location11740 Sw 68th Pkwy Ste 200, Tigard, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1043825169
  • Provider Enumeration Date: 09/15/2020
  • Last Update Date: 05/26/2026

Medical Identifiers

Medical identifiers for Tylee Cooper Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043825169NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor A15351 (Oregon)Secondary
1041C0700XSocial Worker - Clinical A15351 (Oregon)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tylee Cooper Clark is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tylee Cooper Clark, CSWA
2301 Cove Ave,
La Grande, OR 97850-3906

Ph: (541) 962-8800		Tylee Cooper Clark, CSWA
11740 Sw 68th Pkwy Ste 200,
Tigard, OR 97223-9058

Ph: (425) 477-4216

Reviews and Comments


Social Worker in Tigard, OR


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.