Individual
MS. EILEEN FRANCES AGUON MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1507 NE 122ND AVE, PORTLAND, OR 97230-1911
(971) 276-2185
(310) 576-1027
Mailing address
3270 N VANCOUVER AVE APT 320, PORTLAND, OR 97227-2040
(657) 321-9152
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/22/2014
Last updated
06/04/2021
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