Individual
DON MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1776 SW MADISON ST, PORTLAND, OR 97205-1715
(503) 231-2641
(503) 231-1654
Mailing address
5029 SW DICKINSON ST, PORTLAND, OR 97219-8661
(503) 231-2641
(503) 231-1654
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
06-R-04
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126370
—
OR
Enumeration date
04/02/2007
Last updated
07/08/2007
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