Timothy John Martin

NPI 1235476086 - Counselor - 101YM0800X

NPI Details
NPI 1235476086
Gender Male
Enumeration Date 01/14/2013
Last Updated 01/14/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
TIGARD OR, 97223, US
Phone (503) 726-3691
Business Location
1405 SE 40TH AVE
PORTLAND OR, 97214-4406, US
Phone (816) 588-5461
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Mr. Timothy John Martin NPI is 1235476086, taxonomy code is 101YM0800X Timothy John Martin physically located at 8915 Sw Center Street, Tigard OR, 97223. NPI Number Timothy John Martin has the Individual type.

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1235476086 NPI number is provided on an as is basis without warranty of any kind. 1235476086 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy John Martin are for informational purposes only.