Clark, Robert Marc

Clark, Robert Marc is an individual health care provider with primary practice located at 200 Se Hailey Ave Suite 301, Pendleton OR 97801-1329. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Clark, Robert Marc can be contacted via phone (541) 276-4017.

Contact Information

Primary practice address
200 Se Hailey Ave Suite 301 Pendleton OR 97801-1329
Phone: (541) 276-4017
Fax: (541) 278-3353
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X L0751 Oregon

Profile Details

NPI number 1609932490
LBN Legal business name Clark, Robert Marc
Credentials LCSW LICENSED CLINIC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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