IndividualActive
Marty Boehlke, THW
NPI 1154039584 · Peer Specialist · Fossil, OR
Provider details
- NPI number
- 1154039584
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Credential
- THW
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
401 Fourth St
Fossil, OR 97830-8302
Phone: (541) 763-2746
Fax: (541) 763-2170
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 469
Heppner, OR 97836-0469
Registry dates
- Enumerated
- 2022-11-15
- Last updated
- 2022-11-15
- Certified
- 2022-11-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.