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Individual

DR. BREANN NICOLE MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
1400 EXECUTIVE PKWY STE 260, EUGENE, OR 97401-7121
(458) 215-5397
Mailing address
366 GREENFIELD AVE, EUGENE, OR 97404-1679
(714) 767-2949

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
2730
OR
103TF0200X
Forensic Psychologist
Primary
2730
OR

Other

Enumeration date
08/25/2017
Last updated
04/17/2023
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