Individual
ROSEANNE MARIE MARTIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
N.D.
Contact information
Practice address
119 NE 3RD ST, GRESHAM, OR 97030-7403
(503) 665-9111
(503) 665-0110
Mailing address
119 NE 3RD ST, GRESHAM, OR 97030-7403
(503) 665-9111
(503) 665-0110
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
1079
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182905
—
OR
Enumeration date
05/28/2006
Last updated
07/08/2007
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