Individual
MARTIN RAYMOND SHIEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
576 OLIVE STREET, EUGENE, OR 97401
(541) 284-4616
(541) 686-6283
Mailing address
2757 FERNDALE DRIVE, EUGENE, OR 97404-1870
(541) 342-2110
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037759
—
OR
Enumeration date
11/28/2006
Last updated
07/08/2007
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