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MARTY RAY BOEHLKE THW
NPI 1154039584
Peer Specialist in Fossil, OR

Active since November 15, 2022
401 FOURTH ST, FOSSIL, OR 97830(541) 763-2746(541) 763-2170 Get Directions Write a Review

NPPES record last updated: November 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marty Ray Boehlke Thw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARTY RAY BOEHLKE THW (NPI 1154039584) is an individual peer specialist in Fossil, Oregon and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1154039584
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMARTY RAY BOEHLKECredential: THW
Location Address401 FOURTH STFossil, OR 97830-8302
Mailing AddressPo Box 469Heppner, OR 97836-0469 · (541) 676-9161
Phone(541) 763-2746
Fax(541) 763-2170
Sole ProprietorNo
Enumeration DateNovember 15, 2022
NPPES CertifiedNovember 15, 2022
✔ NPI 1154039584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
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.
401 FOURTH ST, Fossil, OR 97830
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARISSA RAE JACOBSON
Peer Specialist
401 FOURTH ST
FOSSIL, OR 97830
Wheeler County (541) 763-2746
TEELA MARIE KILBY QMHA - PEER
Peer Specialist
401 FOURTH ST
FOSSIL, OR 97830
Wheeler County (541) 763-2746
MARIA TERESA HAZEL PSS
Peer Specialist
401 FOURTH ST
FOSSIL, OR 97830
Wheeler County (541) 763-2746
TARA MCINTOSH
Counselor (Mental Health)
401 FOURTH ST
FOSSIL, OR 97830
Wheeler County (541) 763-4276

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marty Boehlke's NPI number?

The NPI number for Marty Boehlke is 1154039584. It was assigned to this individual provider in the NPPES registry on November 15, 2022.

Where is Marty Boehlke located?

Marty Boehlke practices at 401 Fourth St, Fossil, OR 97830. The listed phone number is (541) 763-2746.

What is Marty Boehlke's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Marty Boehlke was last updated on November 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.