IndividualActive
Marissa Baumgartner, THW
NPI 1447720529 · Peer Specialist · Pendleton, OR
Provider details
- NPI number
- 1447720529
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Credential
- THW
- Sex
- Female
- Sole proprietor
- No
- License
- THW000003147 (OR)
Specialties & taxonomies
Other Service Providers
Practice location
46314 Timine Way
Pendleton, OR 97801-9417
Phone: (541) 966-9830
Fax: (541) 278-7572
Approximate (ZIP-level) locationGet directions
Mailing address
46314 Timine Way
Pendleton, OR 97801-9417
Registry dates
- Enumerated
- 2018-11-30
- Last updated
- 2018-11-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.