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Search › Oregon › 175T00000X

Marty Provost

NPI 1639891914 · on the registry since 2022

Practice

Address
700 S J St
Lakeview, OR 97630
Phone
(541) 947-6021
Organisation at this address
Lake Health District
Lake Health District
Lake Health District
Lakeview Gardens Llc
Lake Health District
Inferred from a shared address, not stated in the registry.
Clinicians at this address
28

Registry record

Primary taxonomy
175T00000X
175T00000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-09-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon