ANTHONY MARTY (NPI# 1417400862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417400862 |
| Entity Type | Individual |
| Full Name | ANTHONY MARTY |
| Practice Address |
326 Se Marlin Ave Warrenton OR 97146-9624 |
| Mailing Address |
65 N Highway 101 Ste 204 Warrenton OR 97146-9371 |
| Practice Telephone | 5033255722 |
| Practice Fax Number | 5038612043 |
| Mailing Telephone | 5033255722 |
| Mailing Fax Number | 5038612043 |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2016-08-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
326 SE MARLIN AVE |
| City | WARRENTON |
| State | OR |
| Zip Code | 97146-9624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639479983 | Troy Montserrat-gonzales | Counselor | 326 Se Marlin Ave, Warrenton, OR 97146-9624 | 2010-11-02 |
| 1457961435 | Zachery O'niel Foster | Case Manager/Care Coordinator | 326 Se Marlin Ave, Warrenton, OR 97146-9624 | 2020-08-05 |
| 1992320790 | Theresa Anne Fattori | Case Manager/Care Coordinator | 326 Se Marlin Ave, Warrenton, OR 97146-9624 | 2020-06-08 |
| 1659913408 | Ashley Nicole Johnston | Case Manager/Care Coordinator | 326 Se Marlin Ave, Warrenton, OR 97146-9624 | 2019-10-14 |
| 1346881646 | Sean Joseph Compton | Case Manager/Care Coordinator | 326 Se Marlin Ave, Warrenton, OR 97146-9624 | 2019-10-08 |
| 1508417304 | Faylene Klatt | Case Manager/Care Coordinator | 326 Se Marlin Ave, Warrenton, OR 97146-9624 | 2019-09-23 |
| 1407402696 | Michelle Apollon | Case Manager/Care Coordinator | 326 Se Marlin Ave, Warrenton, OR 97146-9624 | 2019-08-13 |
| 1902450968 | Bryan D Oakley | Case Manager/Care Coordinator | 326 Se Marlin Ave, Warrenton, OR 97146-9624 | 2019-07-29 |
| 1487214904 | Brett Harrington Mayhew | Counselor | 326 Se Marlin Ave, Warrenton, OR 97146-9624 | 2019-06-17 |
| 1467015719 | Kaitlin Rose Mullins | Case Manager/Care Coordinator | 326 Se Marlin Ave, Warrenton, OR 97146-9624 | 2019-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629685920 | Alexandroff Dmd PC | Dentist | 1085 E Harbor Drive, Warrenton, OR 97146 | 2020-09-30 |
| 1265080758 | Emily Ann Brennan | Pharmacist | 145 South, Us-101, Warrenton, OR 97146 | 2019-08-28 |
| 1932643475 | Janice Coughlin | Dental Hygienist | 1630 Se Ensign Lane, Warrenton, OR 97146 | 2016-12-16 |
| 1568906477 | Radiant Care Afh 'llc' | Custodial Care Facility | 52 Nw Birch Ct, Warrenton, OR 97146 | 2016-12-12 |
| 1740634468 | Ron Arleigh Tamayo | Pharmacist | 145 Us-101, Attn: Rite Aid, Warrenton, OR 97146 | 2016-04-19 |
| 1053781864 | Kristopher Smith | Counselor | 65 North Highway 101, Suite 204, Warrenton, OR 97146 | 2015-10-06 |
| 1831577196 | Elizabeth Dietrich Erikson | Family Medicine | 1639 Se Ensign Ln Ste B103, Warrenton, OR 97146 | 2015-05-07 |
| 1164774592 | Tuan Anh Trinh | Pharmacist | 1625 E. Harbor Dr., Warrenton, OR 97146 | 2012-10-09 |
| 1366715054 | Suzanne Marie Jagger | Dental Hygienist | 181 Sw Kalmia Ave, Warrenton, OR 97146 | 2012-02-11 |
| 1669705992 | Costco Wholesale Corporation | Pharmacy | 1804 Se Ensign Ln, Warrenton, OR 97146 | 2009-09-18 |
| Find all providers in zip 97146 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| 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. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578174421 | Brittany Dawn Roberson | Peer Specialist | 65 N Highway 101 Ste 208, Warrenton, OR 97146-9371 | 2020-08-13 |
| 1285149500 | Brett Russell Lewis | Peer Specialist | 326 Se Marlin Ave, Warrenton, OR 97146-9624 | 2017-12-08 |
| 1699123570 | Raul Rubio | Peer Specialist | 326 Se Marlin Ave, Warrenton, OR 97146-9624 | 2016-06-01 |
| 1457709339 | Sherri Lee Ness | Peer Specialist | 326 Se Marlin Ave, Warrenton, OR 97146-9624 | 2016-06-01 |
| 1245688258 | Susan M Clark | Peer Specialist | 326 Se Marlin Ave, Warrenton, OR 97146-9624 | 2016-05-31 |
| 1881042893 | Renee Hunsinger | Peer Specialist | 326 Se Marlin Ave, Warrenton, OR 97146-9624 | 2016-05-31 |
| 1043668056 | Jennifer Rizzi | Peer Specialist | 326 Se Marlin Ave, Warrenton, OR 97146-9624 | 2016-05-31 |
| 1477901486 | Jane Holland | Peer Specialist | 326 Se Marlin Ave, Warrenton, OR 97146-9624 | 2016-05-31 |
| 1558719567 | Wendi Wyrwitzke | Peer Specialist | 326 Se Marlin Ave, Warrenton, OR 97146-9624 | 2016-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255576 | Thomas Roy Hooks | Peer Specialist | 1221 Sw 11th Ave Apt 102, Portland, OR 97205-2143 | 2020-11-04 |
| 1578162145 | Kenneth Branson | Peer Specialist | 389 Sw Scalehouse Ct Ste 130, Bend, OR 97702-3241 | 2020-10-23 |
| 1962000554 | Dawn Marks | Peer Specialist | 21440 Se Stark St, Gresham, OR 97030-2024 | 2020-10-15 |
| 1679188080 | Michelle Marie Bunkers | Peer Specialist | 20517 Jacklight Ln, Bend, OR 97702-2971 | 2020-09-11 |
| 1538773155 | Mamie Nzigire Zagabe | Peer Specialist | 605 Se Cesar Estrada Chavez Blvd, Portland, OR 97214 | 2020-09-01 |
| 1528677820 | Charice Monette | Peer Specialist | 4151 Kacey Cir Ne, Salem, OR 97305-4504 | 2020-07-23 |
| 1841810322 | Ariana Lee May | Peer Specialist | 1601 Olive St Apt 1008, Eugene, OR 97401-3985 | 2020-04-24 |
| 1982237236 | Jessica M Montoya | Peer Specialist | 235 Se Knowledge St, Prineville, OR 97754-2362 | 2020-02-14 |
| 1134752579 | Lisa Kennedy | Peer Specialist | 132 Ne B St # 24, Grants Pass, OR 97526-2114 | 2020-02-13 |
| 1730711953 | Michael Anthony Duran | Peer Specialist | 1515 Hill St Se, Albany, OR 97322-6715 | 2020-02-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.