Timothy John Clark

NPI #1659810299 in Pendleton, Oregon

Provider Information

NPI Number
1659810299
Entity Type
Individual
Name
Timothy John Clark
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Peer Specialist
Enumeration Date
Feb 15, 2017
Last Updated
Jan 29, 2020

Practice Location

Address
17 SW FRAZER AVE STE 282
State
Oregon
ZIP Code
97801-0048
Phone
(541) 278-6330

Specialties & Taxonomy Codes

Specialty
Counselor
Peer Specialist

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