Individual
JOSEPH MARTINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT # 16869
Contact information
Practice address
2855 NW 29TH ST, CORVALLIS, OR 97330
(541) 757-8559
Mailing address
436 SW 5TH ST. #6, CORVALLIS, OR 97333
(541) 990-5957
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
16869
OR
Other
Enumeration date
08/17/2015
Last updated
08/17/2015
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