Individual
MARTHA B DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3500 NE MLK BLVD STE 200, PORTLAND, OR 97212-2093
(503) 253-4600
Mailing address
3500 NE MLK BLVD STE 200, PORTLAND, OR 97212-2093
(503) 253-4600
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
R6315
OR
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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