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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TIMOTHY JOHN CLARK

Active Sole Proprietor

TIMOTHY 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 282
PENDLETON, OR, 978010048
Browse 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.