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Individual

DR. JAMES JOHNSTON MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2085 THOMPSON ROAD, COOS BAY, OR 97420-2085
(542) 269-5333
(541) 269-5609
Mailing address
2085 THOMPSON ROAD, COOS BAY, OR 97420-2085
(542) 269-5333
(541) 269-5609

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
MDO8614
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
121632
OR
Enumeration date
10/04/2006
Last updated
07/08/2007
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