Individual
MARTINA BABB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3180 CENTER ST NE STE 3360, SALEM, OR 97301
(503) 588-5351
Mailing address
1760 HINES ST SE, SALEM, OR 97302-1321
(971) 388-0283
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
15-01-01
OR
Other
Enumeration date
03/24/2015
Last updated
05/31/2018
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