Individual
MS. ANN L MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
124 SW 8TH ST, REDMOND, OR 97756-2114
(541) 504-8970
(541) 504-5805
Mailing address
124 SW 8TH ST, REDMOND, OR 97756-2114
(541) 504-8970
(541) 504-5805
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3365
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083773337
NPI
OR
05
—
500777269
—
OR
Enumeration date
12/06/2006
Last updated
07/27/2021
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