Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIMOTHY JOHN CLARK
Active Sole ProprietorTIMOTHY JOHN CLARK is a Peer Specialist healthcare provider located in PENDLETON, Oregon. NPI 1659810299 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · PENDLETON, OR
Registration Details
- NPI Number
- 1659810299
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 15, 2017 (9.3056859866117 yrs)
- Last Updated
- Jan 29, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
17 SW FRAZER AVE STE 282PENDLETON, OR, 978010048Browse OR providers · Browse ZIP 97801
- Phone
- 5412786330
- Fax
- 5412785419
- Primary Specialty
-
Peer Specialist
175T00000X
- Additional Specialty
- Peer Specialist
Other Peer Specialist Providers in PENDLETON, OR
| Name | Credential | NPI |
|---|---|---|
| SHELLY ROSE MINTHORN | — | 1386009769 |
| SIERRA L QUAEMPTS | — | 1417312877 |
| AARON VANCE NOISEY | — | 1831559780 |
| JSHON CAMILLE THOMPSON | — | 1184084030 |
| DENISE GINNY WICKERT | — | 1265892111 |
| MRS. CHANNON M BAKER | CHW, PSS | 1073974796 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.