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

Marla Vivian Petrik

Individual provider Community Health Worker · NPI 1679134209

Marla Vivian Petrik is a Community Health Worker in Baker City, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2019
Specialties on file
2

Practice location Address checks out

3425 13th St
Baker City, OR 97814-1340
Phone: (541) 523-7400
Fax: (541) 523-4927
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X · Licence 24-QMHA-R-6147 (OR)
Community Health Worker Taxonomy 172V00000X · Licence 106768 (OR)

Record details

NPI number1679134209
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 25, 2019
Last updated in NPPESNovember 7, 2024
Certification dateNovember 7, 2024

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