person
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. You can also correspond with Timothy Ide through the mailing address at 609 NE BAKER ST STE 260, MCMINNVILLE, OR - 97128-4950 (mailing address contact number: 971-213-5025).

Location: 609 Ne Baker St Ste 260, Mcminnville, OR, 97128-4950
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
State
Zip
97128-4950
Phone Number
971-213-5025
Fax Number
person
Provider Business Mailing Address Details
Address
609 Ne Baker St Ste 260
City
State
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
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
License No.
()
Definition
Definition to come...
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