Individual
JENNIFER MARTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
94667 N BANK PISTOL RIVER RD, GOLD BEACH, OR 97444-9665
(360) 499-8785
(000) 000-0000
Mailing address
94667 N BANK PISTOL RIVER RD, GOLD BEACH, OR 97444-9665
(360) 499-8785
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
225CA2500X
Assistive Technology Supplier Rehabilitation Counselor
Primary
055211711
OR
Other
Enumeration date
12/23/2025
Last updated
12/23/2025
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