Robert Marc Clark in Pendleton - Clinical

Robert Marc Clark - NPI 1609932490

Robert Marc Clark is a Clinical in Pendleton, Oregon. Robert Marc Clark practices all healthcare services and medical treatments related to Clinical. The NPI Number for Robert Marc Clark is 1609932490. The last update date is 2007-07-08.

Robert Marc Clark's current location address is 615 Nw 7th Str, Pendleton, Oregon. You can contact this provider via phone number 5412764017 and fax number 5412783353. The mailing address for Robert Marc Clark is 615 Nw 7th Str, Pendleton, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Robert Marc Clark
Address 615 Nw 7th Str, Pendleton, Oregon
Phone Number 5412764017
Fax Number 5412783353
Sole Proprietor N
Credentials LCSW LICEN

NPI Number Detail

NPI Number 1609932490
Provider Enumeration Date 2006-12-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 615 Nw 7th Str
City Pendleton
State Oregon (OR)
Post Code 97801
Phone Number 5412764017
Fax Number 5412783353

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No L0751
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

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FAQs about Robert Marc Clark

What is the unique provider identifier assigned to Robert Marc Clark?

The Robert Marc Clark has been issued the NPI (National Provider Identifier) 1609932490 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Robert Marc Clark is physically located?

The Robert Marc Clark is physically situated at the following address: 615 Nw 7Th Str, Pendleton, OR, 97801.

What is Robert Marc Clark's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Robert Marc Clark's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.

On what date did the Robert Marc Clark receive its 1609932490 assignment from the Centers for Medicare & Medicaid Services?

The Robert Marc Clark was assigned its 1609932490 by the Centers for Medicare & Medicaid Services on 2006-12-28.

When was the Robert Marc Clark's information last updated?

The Robert Marc Clark's information was last updated on 2007-07-08.

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