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Organization

MARTHA JAMES

Active
Parent organization
TREATMENT
Organization subpart
Yes

Provider details

NPI number
Legal business name
TREATMENT
Authorized official
MS. MARTHA FAYE JAMES (COUNSELOR)
(503) 933-2837
Entity
Organization

Contact information

Practice address
5052 NE 42ND AVE, PORTLAND, OR 97218-1550
(503) 933-2837
Mailing address
5052 NE 42ND AVE, PORTLAND, OR 97218-1550
(503) 933-2837

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
5536
OR
302F00000X
Exclusive Provider Organization
Primary
5536
OR

Other

Enumeration date
07/10/2007
Last updated
07/10/2007
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