TIMOTHY JOHN CLARK

PENDLETON, OR
NPI1659810299
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
Additional Taxonomies101Y00000X Counselor
Enumeration Date2017-02-15
Last Update Date2020-01-29
Business Address
TIMOTHY JOHN CLARK
17 SW FRAZER AVE STE 282
PENDLETON, OR 97801-0048
Phone number: 541-278-6330
Mailing Address
TIMOTHY JOHN CLARK
17 SW FRAZER AVE STE 282
PENDLETON, OR 97801-0048
Phone number: 541-278-6330