Austin Douglas Martin BS

NPI 1427495746 - Counselor - 101Y00000X

NPI Details
NPI 1427495746
Gender Male
Enumeration Date 05/28/2013
Last Updated 10/20/2015
Entity Type Individual
Active Over 3 years ago
Practice Location
1904 SE DIVISION ST
PORTLAND OR, 97202-1146, US
Phone (503) 517-8663
Fax
Business Location
1904 SE DIVISION ST
PORTLAND OR, 97202-1146, US
Phone (503) 517-8663
Fax
Toxanomy
Taxonomy Code 101Y00000X
License State
License Number
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According to our database, Mr. Austin Douglas Martin BS NPI is 1427495746, taxonomy code is 101Y00000X Austin Douglas Martin BS physically located at 1904 Se Division St, Portland OR, 97202-1146. NPI Number Austin Douglas Martin BS has the Individual type.

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1427495746 NPI number is provided on an as is basis without warranty of any kind. 1427495746 is maintained by the National Plan & Provider Enumeration System. The contents of Austin Douglas Martin BS are for informational purposes only.