Robert Marc Clark LCSW LICENSED CLINIC

NPI 1609932490 - Social Worker - 1041C0700X

NPI Details
NPI 1609932490
Gender Male
Enumeration Date 12/28/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
200 SE HAILEY AVE
SUITE 301
PENDLETON OR, 97801-1329, US
Phone (541) 276-4017
Fax (541) 278-3353
Business Location
615 NW 7TH STR
PENDLETON OR, 97801, US
Phone (541) 276-4017
Fax (541) 278-3353
Toxanomy
Taxonomy Code 1041C0700X
License State Oregon
License Number L0751
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According to our database, Robert Marc Clark LCSW LICENSED CLINIC NPI is 1609932490, taxonomy code is 1041C0700X and license number is L0751, license state is located at Oregon. Robert Marc Clark LCSW LICENSED CLINIC physically located at 200 Se Hailey Ave, Pendleton OR, 97801-1329. NPI Number Robert Marc Clark LCSW LICENSED CLINIC has the Individual type.

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1609932490 NPI number is provided on an as is basis without warranty of any kind. 1609932490 is maintained by the National Plan & Provider Enumeration System. The contents of Robert Marc Clark LCSW LICENSED CLINIC are for informational purposes only.