Timothy John Clark
Timothy John Clark is a Counselor in Pendleton, Oregon. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
17 SW Frazer Ave Ste 282Pendleton, OR 97801-0048
Phone: (541) 278-6330
Fax: (541) 278-5419
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Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|---|
| Counselor | Taxonomy 101Y00000X |
Record details
| NPI number | 1659810299 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 15, 2017 |
| Last updated in NPPES | January 29, 2020 |
| Certification date | January 29, 2020 |
| Mailing address | 17 Sw Frazer Ave Ste 282, Pendleton, OR 97801-0048 |
Other providers in Pendleton
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Mariela Carrillo
17 SW Frazer Ave Ste 282, Pendleton, OR 97801-0048 · (541) 278-6330
-
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Jessica Clark
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Shanna Detrick
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