1. Home
  2. Directory
  3. Oregon
  4. Roseburg
  5. Peer Specialist
  6. NPI Profile

MARC R TETRICK
NPI 1548066145
Peer Specialist in Roseburg, OR

Active since February 24, 2025
621 W MADRONE ST, ROSEBURG, OR 97470(541) 440-3532 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marc R Tetrick NPPES

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

MARC R TETRICK (NPI 1548066145) is an individual peer specialist in Roseburg, Oregon and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1548066145
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMARC R TETRICK
Location Address621 W MADRONE STRoseburg, OR 97470-3090
Mailing AddressPo Box 1121Roseburg, OR 97470-0254 · (541) 672-2691
Phone(541) 440-3532
Sole ProprietorNo
Enumeration DateFebruary 24, 2025
NPPES CertifiedFebruary 24, 2025
✔ NPI 1548066145 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.
621 W MADRONE ST, Roseburg, OR 97470
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

WILLIAM F SHOBE JR. LMFT
Marriage & Family Therapist
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 492-4550
HEATHER IRENE JOHNSON MSW
Social Worker
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 440-3532
URIAH HEATH YRAGUEN
Peer Specialist
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 672-2691
MR. DALE EDWARD WILLIAMS MC, LPC
Counselor (Mental Health)
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 440-3532
EMILY TUCKER LPC NCC
Counselor (Professional)
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 672-2691
INGER C BOYD MA ED., BS
Counselor
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 440-3532
MAE L HOOPES
Counselor (Addiction (Substance Use Disorder))
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 672-2691
JENNIFER DIANE LOWRY
Counselor (Mental Health)
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 440-3532

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 Marc Tetrick's NPI number?

The NPI number for Marc Tetrick is 1548066145. It was assigned to this individual provider in the NPPES registry on February 24, 2025.

Where is Marc Tetrick located?

Marc Tetrick practices at 621 W Madrone St, Roseburg, OR 97470. The listed phone number is (541) 440-3532.

What is Marc Tetrick'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 Marc Tetrick was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.