Individual provider · Type 1 NPI

Timothy John Clark

Peer Specialist · Pendleton, OR

NPI number 1659810299 Active

Practice location

17 SW Frazer Ave Ste 282
Pendleton, OR 97801-0048

Call (541) 278-6330 Map

Fax (541) 278-5419

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: 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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About NPI 1659810299

Timothy John Clark's National Provider Identifier is 1659810299, issued on Feb 15, 2017. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Pendleton, OR. The record was last updated on Jan 29, 2020.