Timothy Ide
NPI #1023544020 in Mcminnville, Oregon
Provider Information
- NPI Number
- 1023544020
- Entity Type
- Individual
- Name
- Timothy Ide
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- May 11, 2017
- Last Updated
- Mar 4, 2024
Practice Location
- Address
- 609 NE BAKER ST STE 260
- City
- Mcminnville
- State
- Oregon
- ZIP Code
- 97128-4950
- Phone
- (971) 213-5025
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Counselor - Professional — Professional |
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