Marla Vivian Petrik, is a
Community Health Worker based in Baker City, Oregon. Marla Vivian Petrik is licensed to practice in Oregon (license number 106768) and her current practice location is
3425 13th St, Baker City, Oregon. She can be reached at her office (for appointments etc.) via phone at
(541) 523-7400.
NPI number for Marla Vivian Petrik is 1679134209 and her current mailing address is 3425 13th St, Baker City, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679134209.
Healthcare Provider's Profile
Full Name | Marla Vivian Petrik |
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Gender | Female |
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Speciality | Community Health Worker |
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Location | 3425 13th St, Baker City, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1679134209
- Provider Enumeration Date: 06/25/2019
- Last Update Date: 07/13/2023
Medical Identifiers
Medical identifiers for Marla Vivian Petrik such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679134209 | NPI | - | NPPES |
500809171 | Medicaid | OR | |
2672690 | Other | OR | ODL |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
172V00000X | Community Health Worker | 106768 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Marla Vivian Petrik is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Marla Vivian Petrik, 3425 13th St, Baker City, OR 97814-1340 Ph: (541) 523-7400 | Marla Vivian Petrik, 3425 13th St, Baker City, OR 97814-1340 Ph: (541) 523-7400 |
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