Individual
BRANDON MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4050 FAIRVIEW INDUSTRIAL DR SE, SALEM, OR 97302-1005
(503) 460-7356
Mailing address
26160 SW CANYON CREEK RD APT 303, WILSONVILLE, OR 97070-8661
(503) 460-7356
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19880
OR
Other
Enumeration date
01/17/2023
Last updated
11/01/2024
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