Individual provider · Type 1 NPI
Marty Ray Boehlke, THW
Peer Specialist · Fossil, OR
NPI number
1154039584
Active
Practice location
401 Fourth St
Fossil, OR 97830-8302
Fax (541) 763-2170
Mailing address
PO Box 469
Heppner, OR 97836-0469
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | None listed |
Peer Specialist: 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.
4 other providers at this address
Other peer specialist providers in Fossil
About NPI 1154039584
Marty Ray Boehlke, THW's National Provider Identifier is 1154039584, issued on Nov 15, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Fossil, OR. The record was last updated on Nov 15, 2022.