Timothy John Clark
Peer Specialist • Pendleton, OR
Professional Overview & Biography Verified Profile Summary
Timothy Clark is a registered healthcare professional specializing in Peer Specialist in Pendleton, OR. Practice services are available at 17 SW FRAZER AVE STE 282 under active NPI credentials.
Practice Location & Contact Primary Location
17 Sw Frazer Ave Ste 282
Pendleton, OR 978010048
Specialty Benchmarks & Practice Insights
Comparative analytics for Peer Specialist in Pendleton, OR
Practicing in Pendleton, OR (3408 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2020-01-29NUCC Taxonomy Code: 175T00000X
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.
NUCC Taxonomy Code: 101Y00000X
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.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Counselor - Addiction (Substance Use Disorder)
Counselor
Counselor - Addiction (Substance Use Disorder)
Counselor - Addiction (Substance Use Disorder)
Certified Alcohol and Drug Counselor
Counselor - Addiction (Substance Use Disorder)
Certified Alcohol and Drug Counselor
Peer Specialist
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Counselor
NPI status registered as active in NPPES database
Registered at 17 SW FRAZER AVE STE 282, PENDLETON, OR 978010048 (Tel: 5412786330)
Registered at 17 SW FRAZER AVE STE 282, PENDLETON, OR 978010048 (Tel: 5412786330)
Recorded as TIMOTHY CLARK
Community/Behavioral Health
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
17 Sw Frazer Ave Ste 282
Pendleton, OR 978010048
Phone: 5412786330
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