Individual
MS. MARTHA GRAY HYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8585 SW CANYON LN APT 7, PORTLAND, OR 97225-3956
(503) 296-9478
Mailing address
8585 SW CANYON LN APT 7, PORTLAND, OR 97225-3956
(503) 296-9478
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10743
OR
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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