Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marc R Tetrick

Individual provider Peer Specialist · NPI 1548066145

Marc R Tetrick is a Peer Specialist in Roseburg, Oregon. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

621 W Madrone St
Roseburg, OR 97470-3090
Phone: (541) 440-3532
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1548066145
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 24, 2025
Last updated in NPPESFebruary 24, 2025
Certification dateFebruary 24, 2025
Mailing addressPo Box 1121, Roseburg, OR 97470-0254

Other providers in Roseburg