Individual
MR. MARTIN ALLEN BROTHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
1785 WILLAMETTE FALLS DR, SUITE 7, WEST LINN, OR 97068-4568
(503) 723-0394
(503) 650-9070
Mailing address
19810 SUNCREST DR, WEST LINN, OR 97068-4812
(503) 650-9070
(503) 650-9070
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00820
OR
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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