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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARTY RAY BOEHLKE, THW

Active

MARTY RAY BOEHLKE, THW is a Peer Specialist healthcare provider located in FOSSIL, Oregon. NPI 1154039584 is currently active in the NPPES registry. Verify at CMS.

Peer Specialist · FOSSIL, OR

Registration Details

NPI Number
1154039584
Provider Type
Individual
Gender
Male
NPI Issued
Nov 15, 2022 (3.7190645361982 yrs)
Last Updated
Nov 15, 2022

Practice Information

Address
401 FOURTH ST
FOSSIL, OR, 978308302
Browse OR providers · Browse ZIP 97830
Phone
5417632746
Fax
5417632170
Primary Specialty
Peer Specialist
175T00000X

Other Peer Specialist Providers in FOSSIL, OR

Name Credential NPI
TEELA MARIE KILBY QMHA - PEER 1346977824
MARIA TERESA HAZEL PSS 1528819745
MARISSA RAE JACOBSON 1184432148
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.