Individual
NATHAN MART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC II
Contact information
Practice address
4211 W 11TH AVE, EUGENE, OR 97402-5435
(541) 485-1577
(541) 242-2853
Mailing address
PO BOX 26109, EUGENE, OR 97402-0463
(541) 485-1577
(541) 242-2853
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13-12-66
OR
Other
Enumeration date
02/02/2016
Last updated
02/02/2016
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