TIMOTHY CLARK
Peer Specialist
Active
Individual
NPI: 1659810299
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor | 101Y00000X | No | - |
| Peer Specialist | 175T00000X | Yes | - |
Frequently Asked Questions
NPI 1659810299 is the National Provider Identifier for TIMOTHY CLARK, a Peer Specialist provider located in Pendleton, OR. This NPI was enumerated on February 15, 2017.
TIMOTHY CLARK practices at 17 SW FRAZER AVE STE 282, Pendleton, OR 97801.
Quick Facts
- NPI
- 1659810299
- Type
- Individual
- Enumerated
- Feb 15, 2017
- Last Updated
- Jan 29, 2020
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