Organization
MARTINS MANOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL KING II (OWNER)
(541) 429-4146
Entity
Organization
Contact information
Practice address
1115 SW NYE AVE, PENDLETON, OR 97801-9405
(541) 429-4146
Mailing address
1115 SW NYE AVE, PENDLETON, OR 97801
(541) 429-4146
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
519145
OR
Other
Enumeration date
11/16/2016
Last updated
11/16/2016
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