Individual
MR. JACOB NATHANAEL MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CFA
Contact information
Practice address
3410 MERRYVALE RD, EUGENE, OR 97404-3870
(541) 556-9051
Mailing address
3410 MERRYVALE RD, EUGENE, OR 97404-3870
(541) 556-9051
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
104266
OR
Other
Enumeration date
11/05/2008
Last updated
11/05/2008
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