Individual
MS. ANNIE BILLIE JEAN MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 SE 7TH AVE, PORTLAND, OR 97214-1200
(503) 235-0131
(503) 239-7390
Mailing address
15945 SE MILL ST, PORTLAND, OR 97233-3663
(503) 572-7089
(503) 239-6233
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CADCI18-P-10
OR
175T00000X
Peer Specialist
—
—
Other
Enumeration date
09/09/2015
Last updated
06/19/2018
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