Individual
MS. LORI MICHELLE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
2600 CENTER ST NE, SALEM, OR 97301-2669
(503) 945-9045
Mailing address
2600 CENTER ST NE, SALEM, OR 97301-2669
(503) 945-9045
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201602157NP-PP
OR
Other
Enumeration date
01/14/2012
Last updated
12/06/2016
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