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MARTINE RICHARDSON SACKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
830 NE 47TH AVE, PORTLAND, OR 97213-2212
(503) 215-2233
(503) 215-2478
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158

Taxonomy

Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
MD16111
OR
2080P0006X
Developmental - Behavioral Pediatrics Physician
OR16111
OR

Other

Enumeration date
04/20/2007
Last updated
03/24/2021
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