Individual
MS. LAURA HELEN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
58646 MCNULTY WAY, ST HELENS, OR 97051
(503) 397-5211
(503) 397-5373
Mailing address
PO BOX 1234, SAINT HELENS, OR 97051-8234
(503) 397-5211
(503) 397-5373
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L3408
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003635017
BLUECROSS BLUESHIELD
OR
05
—
123190
—
OR
Enumeration date
04/30/2007
Last updated
11/11/2010
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