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Timothy Ide
Professional Counselor in Mcminnville, Oregon
NPI 1023544020

Timothy Ide is a Professional Counselor based in Mcminnville, OR and is specialized in Professional. Timothy Ide practices in Mcminnville, OR. The NPI Number for Timothy Ide is 1023544020 and holds a License No. (Oregon).

The current practice location address for Timothy Ide is 609 Ne Baker St Ste 260, Mcminnville, OR and can be reached out via phone at 971-213-5025.

Location: 609 Ne Baker St Ste 260, Mcminnville, OR, 97128-4950
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023544020
Provider Name
Timothy Ide
Credential
Provider Entity Type
Individual
Gender
Male
Address
609 Ne Baker St Ste 260, Mcminnville, OR, 97128-4950
Phone Number
971-213-5025
Fax Number
Provider Enumeration Date
05/11/2017
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
609 Ne Baker St Ste 260
City
Mcminnville
State
Oregon
Zip
97128-4950
Phone Number
971-213-5025
Fax Number
person
Provider Business Mailing Address Details
Address
609 Ne Baker St Ste 260
City
Mcminnville
State
Oregon
Zip
97128-4950
Phone Number
971-213-5025
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
C7975 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
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