Organization
DAVID MICHAEL MARTIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID M HABIB MARTIN LPC (OWNER)
(503) 880-1508
Entity
Organization
Contact information
Practice address
2704 SE TIBBETTS ST, PORTLAND, OR 97202-2043
(503) 880-1508
Mailing address
2704 SE TIBBETTS ST, PORTLAND, OR 97202-2043
(503) 880-1508
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/20/2024
Last updated
12/20/2024
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