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

Marty Ray Boehlke, THW

Individual provider Peer Specialist · NPI 1154039584

Marty Ray Boehlke, THW is a Peer Specialist in Fossil, Oregon. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

401 Fourth St
Fossil, OR 97830-8302
Phone: (541) 763-2746
Fax: (541) 763-2170
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1154039584
Entity typeIndividual (Type 1)
GenderMale
Credentials THW
Sole proprietorNo
NPI enumeratedNovember 15, 2022
Last updated in NPPESNovember 15, 2022
Certification dateNovember 15, 2022

Other providers in Fossil