Individual
DR. STEPHANIE ANNE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
983 NW SPRUCE AVE, CORVALLIS, OR 97330-2111
(541) 753-2068
(541) 753-5392
Mailing address
983 NW SPRUCE AVE, CORVALLIS, OR 97330-2111
(541) 753-2068
(541) 753-5392
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
30611
OR
235Z00000X
Speech-Language Pathologist
30611
OR
237600000X
Audiologist-Hearing Aid Fitter
HAS P 10119028
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
214452
—
OR
Enumeration date
01/09/2008
Last updated
01/09/2008
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