Individual
MASON L MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1435 G ST, SPRINGFIELD, OR 97477-4113
(541) 735-9420
(541) 747-9870
Mailing address
1435 G ST, SPRINGFIELD, OR 97477-4113
(541) 735-9420
(541) 747-9870
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
114513
OR
Other
Enumeration date
07/30/2025
Last updated
07/30/2025
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