Individual
DR. MARTIN JOHN CODINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4317 NE TILLAMOOK ST, PORTLAND, OR 97213-1315
(503) 493-9730
(503) 493-1642
Mailing address
4317 NE TILLAMOOK ST, PORTLAND, OR 97213-1315
(503) 493-9730
(503) 493-1642
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2841
OR
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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