Individual
MS. MARTHA JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA CADCII
Contact information
Practice address
5052 NE 42ND AVE, PORTLAND, OR 97218-1550
(503) 933-2837
Mailing address
5052 NE 42ND AVE, PORTLAND, OR 97218-1550
(503) 933-2837
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1229
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
1955
OR
Other
Enumeration date
07/11/2007
Last updated
07/16/2007
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