Individual
MS. KATHLEEN LOREENA MARTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHA
Contact information
Practice address
1911 HAZEL AVE, MEDFORD, OR 97501-1630
(541) 734-3950
(541) 734-3960
Mailing address
1911 HAZEL AVE, MEDFORD, OR 97501-1630
(541) 734-3950
(541) 734-3960
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/28/2011
Last updated
02/28/2011
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