Individual
MRS. SUE C. MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
9106 NE HIGHWAY 99, SUITE E, VANCOUVER, WA 98665-8971
(360) 281-1215
Mailing address
723 NW 119TH ST, VANCOUVER, WA 98685-3803
(360) 574-4052
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00014597
WA
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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