Rose Marie Ahart

Individual provider Active NPI Peer Specialist · Amity, OR

NPI 1154821676 · NPPES record last updated Feb 21, 2018

Key facts

NPI
1154821676
Entity type
Individual (NPI type 1)
Primary specialty
Peer Specialist 175T00000X
Practice address
207 E Third St
Amity, OR 97101-2248
Phone
(971) 237-4275
NPI assigned
Feb 21, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X Yes

Addresses

Primary practice location

207 E Third St
Amity, OR 97101-2248

Mailing address

PO Box 721
Amity, OR 97101-0721

Other providers in Amity, OR

All providers in Amity, OR · Peer Specialist in Oregon

Sources for this page

Verify at the official NPI Registry.