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Marissa Marie Baumgartner, THW
Peer Specialist in Pendleton, Oregon
NPI 1447720529

Marissa Marie Baumgartner is a Peer Specialist based in Pendleton, OR. Marissa Marie Baumgartner practices in Pendleton, OR and has the professional credentials of THW. The NPI Number for Marissa Marie Baumgartner is 1447720529 and holds a License No. THW000003147 (Oregon).

The current practice location address for Marissa Marie Baumgartner is 46314 Timine Way, Pendleton, OR and can be reached out via phone at 541-966-9830 and via fax at 541-278-7572.

Location: 46314 Timine Way, Pendleton, OR, 97801-9417
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447720529
Provider Name
Marissa Marie Baumgartner
Credential
THW
Provider Entity Type
Individual
Gender
Female
Address
46314 Timine Way, Pendleton, OR, 97801-9417
Phone Number
541-966-9830
Fax Number
541-278-7572
Provider Enumeration Date
11/30/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
46314 Timine Way
City
Pendleton
State
Oregon
Zip
97801-9417
Phone Number
541-966-9830
Fax Number
541-278-7572
person
Provider Business Mailing Address Details
Address
46314 Timine Way
City
Pendleton
State
Oregon
Zip
97801-9417
Phone Number
541-966-9830
Fax Number
541-278-7572
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
THW000003147 (Oregon)
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.
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