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Timothy John Clark
Peer Specialist in Pendleton, Oregon
NPI 1659810299

Timothy John Clark is a Peer Specialist based in Pendleton, OR. Timothy John Clark practices in Pendleton, OR. The NPI Number for Timothy John Clark is 1659810299 and holds a License No. (Oregon).

The current practice location address for Timothy John Clark is 17 Sw Frazer Ave Ste 282, Pendleton, OR and can be reached out via phone at 541-278-6330 and via fax at 541-278-5419.

Location: 17 Sw Frazer Ave Ste 282, Pendleton, OR, 97801-0048
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659810299
Provider Name
Timothy John Clark
Credential
Provider Entity Type
Individual
Gender
Male
Address
17 Sw Frazer Ave Ste 282, Pendleton, OR, 97801-0048
Phone Number
541-278-6330
Fax Number
541-278-5419
Provider Enumeration Date
02/15/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
17 Sw Frazer Ave Ste 282
City
Pendleton
State
Oregon
Zip
97801-0048
Phone Number
541-278-6330
Fax Number
541-278-5419
person
Provider Business Mailing Address Details
Address
17 Sw Frazer Ave Ste 282
City
Pendleton
State
Oregon
Zip
97801-0048
Phone Number
541-278-6330
Fax Number
541-278-5419
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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