person
Marty Scott Provost
Peer Specialist in Lakeview, Oregon
NPI 1639891914

Marty Scott Provost is a Peer Specialist based in Lakeview, OR. Marty Scott Provost practices in Lakeview, OR. The NPI Number for Marty Scott Provost is 1639891914 and holds a License No. (Oregon).

The current practice location address for Marty Scott Provost is 700 S J St, Lakeview, OR and can be reached out via phone at 541-947-6021.

Location: 700 S J St, Lakeview, OR, 97630-1623
person
Provider Profile Details
NPI Number
1639891914
Provider Name
Marty Scott Provost
Credential
Provider Entity Type
Individual
Gender
Male
Address
700 S J St, Lakeview, OR, 97630-1623
Phone Number
541-947-6021
Fax Number
Provider Enumeration Date
09/14/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
700 S J St
City
State
Zip
97630-1623
Phone Number
541-947-6021
Fax Number
person
Provider Business Mailing Address Details
Address
700 S J St
City
State
Zip
97630-1623
Phone Number
541-947-6021
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
(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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