Individual
ROBERT MARC CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW LICENSED CLINIC
Contact information
Practice address
200 SE HAILEY AVE, SUITE 301, PENDLETON, OR 97801-1329
(541) 276-4017
(541) 278-3353
Mailing address
615 NW 7TH STR, PENDLETON, OR 97801
(541) 276-4017
(541) 278-3353
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L0751
OR
Other
Enumeration date
12/28/2006
Last updated
07/08/2007
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