Marissa Marie Baumgartner, THW Valid NPI
Individual provider · Peer Specialist · Pendleton, OR
- NPI
- 1447720529
- Type
- Individual (Type 1)
- Primary specialty
- Peer Specialist
- Specialty group
- Other Service Providers
- Taxonomy code
- 175T00000X
- License number
- THW000003147 (OR)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2018-11-30
- Last updated
- 2018-11-30
Practice location
46314 Timine Way
Pendleton, OR 97801-9417
(541) 966-9830