Individual
MR. THOMAS J MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
1230 DIVISION ST, OREGON CITY WELLNESS & FAMILY MEDICINE, OREGON CITY, OR 97045-1521
(503) 655-5327
Mailing address
2144 SE 54TH AVE, PORTLAND, OR 97215-3920
(503) 784-7021
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00282
OR
Other
Enumeration date
06/22/2006
Last updated
07/08/2007
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