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MARTY SCOTT PROVOST
NPI 1639891914
Peer Specialist in Lakeview, OR

Active since September 14, 2022
700 S J ST, LAKEVIEW, OR 97630(541) 947-6021 Get Directions Write a Review

NPPES record last updated: September 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marty Scott Provost NPPES

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

MARTY SCOTT PROVOST (NPI 1639891914) is an individual peer specialist in Lakeview, Oregon and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1639891914
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMARTY SCOTT PROVOST
Location Address700 S J STLakeview, OR 97630-1623
Mailing Address700 S J StLakeview, OR 97630-1623 · (541) 947-6021
Phone(541) 947-6021
Sole ProprietorNo
Enumeration DateSeptember 14, 2022
NPPES CertifiedSeptember 14, 2022
✔ NPI 1639891914 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.
700 S J ST, Lakeview, OR 97630
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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.

IVY STEIGER
Occupational Therapist
700 S J ST
LAKEVIEW, OR 97630
Lake County (541) 947-2114
JULIA SNEDIGAR MS, CCC-SLP
Speech-Language Pathologist
700 S J ST
LAKEVIEW, OR 97630
Lake County (541) 947-7322
IRIS CONTRERAS CHW
Community Health Worker
700 S J ST
LAKEVIEW, OR 97630
Lake County (541) 947-2114
NICOLE ALICIA FORBES
Peer Specialist
700 S J ST
LAKEVIEW, OR 97630
Lake County (541) 947-2114
HEIDI MILLER DROT, OTR/L
Occupational Therapist
700 S J ST
LAKEVIEW, OR 97630
Lake County (541) 947-2114
LAKE HEALTH DISTRICT
Long Term Care Hospital
700 S J ST
LAKEVIEW, OR 97630
Lake County (541) 947-2114
MOLLY GRACE BODIFORD OTR/L
Occupational Therapist
700 S J ST
LAKEVIEW, OR 97630
Lake County (541) 947-2114
DR. JAMIE RENEE LEWIS DPT
Physical Therapist
700 S J ST
LAKEVIEW, OR 97630
Lake County (916) 899-8838

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 Provost's NPI number?

The NPI number for Marty Provost is 1639891914. It was assigned to this individual provider in the NPPES registry on September 14, 2022.

Where is Marty Provost located?

Marty Provost practices at 700 S J St, Lakeview, OR 97630. The listed phone number is (541) 947-6021.

What is Marty Provost'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 Provost was last updated on September 14, 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.