Individual
DOMINIC MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
550 RIVER RD, EUGENE, OR 97404-3212
(541) 743-2611
Mailing address
1790 W 11TH AVE, EUGENE, OR 97402-3758
(541) 743-2611
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OR
Other
Enumeration date
04/26/2016
Last updated
04/26/2016
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