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Individual

MR. ERIC ALLEN MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CADC III, CRM, CPS

Contact information

Practice address
2054 N. VANCOUVER AVE, PORTLAND, OR 97227
(503) 231-8164
(503) 232-4318
Mailing address
2054 N. VANCOUVER AVE, PORTLAND, OR 97227
(503) 231-8164
(503) 232-4318

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
05-11-97
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11-CRM-002
OR

Other

Enumeration date
04/30/2015
Last updated
04/30/2015
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