Timothy John Clark

Peer Specialist · Pendleton, OR

Individual Active NPI

NPI number 1659810299

Practice location

17 SW Frazer Ave Ste 282
Pendleton, OR 97801-0048
Phone
(541) 278-6330
Fax
(541) 278-5419

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NPI record

NPI
1659810299
Entity type
Individual (Type 1)
Enumeration date
February 15, 2017
Last updated
January 29, 2020
Certified
January 29, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Peer Specialist Primary 175T00000X — —
Counselor 101Y00000X — —

About Timothy Clark

Timothy John Clark is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 17 SW Frazer Ave Ste 282, Pendleton, OR 97801-0048. The NPI number 1659810299 was assigned on February 15, 2017 and the record was last updated on January 29, 2020.

Frequently asked questions

What is the NPI number of Timothy John Clark?

The NPI number is 1659810299.

What is the phone number of Timothy Clark?

The phone number listed for the practice location is (541) 278-6330.

Where is Timothy Clark located?

17 SW Frazer Ave Ste 282, Pendleton, OR 97801-0048.

What is the taxonomy code for Timothy Clark?

The primary taxonomy code is 175T00000X – Peer Specialist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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