Individual
TORI MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1885 THOMPSON RD, COOS BAY, OR 97420-2152
(541) 266-8480
(541) 266-8479
Mailing address
3587 HEATHROW WAY, MEDFORD, OR 97504-4004
(541) 858-8170
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PROFESSIONALLICENSE
—
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
03/12/2019
Last updated
02/20/2026
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