Individual provider · Type 1 NPI

Marc R. Tetrick

Peer Specialist · Roseburg, OR

NPI number 1548066145 Active

Practice location

621 W Madrone St
Roseburg, OR 97470-3090

Call (541) 440-3532 Map

Mailing address

PO Box 1121
Roseburg, OR 97470-0254

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone 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.

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About NPI 1548066145

Marc R. Tetrick's National Provider Identifier is 1548066145, issued on Feb 24, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Roseburg, OR. The record was last updated on Feb 24, 2025.