Individual
LARA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4125 SW 185TH AVE, ALOHA, OR 97078-1572
(971) 217-6884
Mailing address
1122 SE 40TH AVE, HILLSBORO, OR 97123-7505
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
2089
OR
Other
Enumeration date
04/07/2015
Last updated
04/07/2015
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