Boehlke, Marty Ray

Boehlke, Marty Ray is an individual health care provider with primary practice located at 401 Fourth St , Fossil OR 97830-8302. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Boehlke, Marty Ray can be contacted via phone (541) 763-2746.

Contact Information

Primary practice address
401 Fourth St Fossil OR 97830-8302
Phone: (541) 763-2746
Fax: (541) 763-2170
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1154039584
LBN Legal business name Boehlke, Marty Ray
Credentials THW
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2022
Last updated Nov 15th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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