Sally Victoria Clayton, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1385 Issued in OR

Practice address

1070 NW Murray Rd Ste 3
Portland, OR 97229-5568

Phone

(503) 531-3574

Fax

(503) 305-5684

NPI assigned

Jan 28, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1013194562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2362",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970622362",
            "telephone_number": "503-531-3574",
            "fax_number": "503-305-5684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 NW MURRAY RD STE 3",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972295568",
            "telephone_number": "503-531-3574",
            "fax_number": "503-305-5684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYTON",
        "first_name": "SALLY",
        "middle_name": "VICTORIA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-28",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "1385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "223707",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BC/BS",
            "identifier": "804349000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debra Clayton, MSW, BSSW
• Katherine Ann Clayton, MD
• Lara Anna Clayton, P.A.
• Michael J Clayton, MD
• Robin Clayton
• Cleanse Wellness Company
• Cleanse Wellness Company LLC
• Clear Heart Acupuncture, LLC
• Clear Heart, LLC
• Clear Path Behavioral Health and Wellness Services LLC

• Clinical Psychologist in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.