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TIMOTHY JOHN CLARK
NPI 1659810299
Peer Specialist in Pendleton, OR

Active since February 15, 2017
17 SW FRAZER AVE STE 282, PENDLETON, OR 97801(541) 278-6330(541) 278-5419 Get Directions Write a Review

NPPES record last updated: January 29, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 29, 2020, Mar 8, 2019, Feb 15, 2017 (3 updates tracked since 2017).

About Timothy John Clark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY JOHN CLARK (NPI 1659810299) is an individual peer specialist in Pendleton, Oregon and active in the NPI registry since February 2017.

NPPES Registry Identity

NPI1659810299
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameTIMOTHY JOHN CLARK
Location Address17 SW FRAZER AVE STE 282Pendleton, OR 97801-0048
Mailing Address17 Sw Frazer Ave Ste 282Pendleton, OR 97801-0048 · (541) 278-6330 · Fax (541) 278-5419
Phone(541) 278-6330
Fax(541) 278-5419
Sole ProprietorYes
Enumeration DateFebruary 15, 2017
Last NPPES UpdateJanuary 29, 20203 updates tracked since enumeration
✔ NPI 1659810299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
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.
Also ListedCounselorTaxonomy 101Y00000X
17 SW FRAZER AVE STE 282, Pendleton, OR 97801
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLEE E.J. PALACIOS
Counselor
17 SW FRAZER AVE STE 282
PENDLETON, OR 97801
Umatilla County (541) 278-6330
JUNE S HILLS
Peer Specialist
17 SW FRAZER AVE STE 282
PENDLETON, OR 97801
Umatilla County (541) 278-6330
MARIA MARVELLA UGARTE
Peer Specialist
17 SW FRAZER AVE STE 282
PENDLETON, OR 97801
Umatilla County (541) 278-6330
MS. AMY D. HAYES CADCII
Counselor (Addiction (Substance Use Disorder))
17 SW FRAZER AVE STE 282
PENDLETON, OR 97801
Umatilla County (541) 278-6330
CARLOS SANTIAGO VEGA
Counselor
17 SW FRAZER AVE STE 282
PENDLETON, OR 97801
Umatilla County (541) 278-6330
MR. LARRY JASON ESTLE
Community/Behavioral Health
17 SW FRAZER AVE STE 282
PENDLETON, OR 97801
Umatilla County (541) 278-6330
MR. JOSEPH W COONEY
Community/Behavioral Health
17 SW FRAZER AVE STE 282
PENDLETON, OR 97801
Umatilla County (541) 278-6330
JOLIEA R. HERNANDEZ
Counselor
17 SW FRAZER AVE STE 282
PENDLETON, OR 97801
Umatilla County (541) 278-6330

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Clark's NPI number?

The NPI number for Timothy Clark is 1659810299. It was assigned to this individual provider in the NPPES registry on February 15, 2017.

Where is Timothy Clark located?

Timothy Clark practices at 17 SW Frazer Ave Ste 282, Pendleton, OR 97801. The listed phone number is (541) 278-6330.

What is Timothy Clark's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Timothy Clark was last updated on January 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.