Individual
CARRIE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4585 SW 185TH AVE, ALOHA, OR 97078-1557
(503) 591-9280
(503) 848-2072
Mailing address
4585 SW 185TH AVE, ALOHA, OR 97078-1557
(503) 591-9280
(503) 848-2072
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
094000288RN
OR
Other
Enumeration date
04/07/2017
Last updated
02/09/2021
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