MARTY PROVOST

Peer Specialist

Active Individual
NPI: 1639891914

Practice Address

700 S J ST
Lakeview, OR 97630

Phone: (541) 947-6021

Specialties

Specialty Code Primary License
Peer Specialist 175T00000X Yes -

Frequently Asked Questions

NPI 1639891914 is the National Provider Identifier for MARTY PROVOST, a Peer Specialist provider located in Lakeview, OR. This NPI was enumerated on September 14, 2022.
MARTY PROVOST practices at 700 S J ST, Lakeview, OR 97630.

Quick Facts

NPI
1639891914
Type
Individual
Enumerated
Sep 14, 2022
Last Updated
Sep 14, 2022

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