Individual
PETER MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSED, CCC-SLP
Contact information
Practice address
13132 SE RAMONA ST, PORTLAND, OR 97236-4113
(503) 256-6531
Mailing address
13132 SE RAMONA ST, PORTLAND, OR 97236-4113
(503) 256-6531
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
015719
OR
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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