Individual
ERIC D MARTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
2901 E BURNSIDE ST, PORTLAND, OR 97214-1831
(503) 238-5203
Mailing address
2901 E BURNSIDE ST, PORTLAND, OR 97214-1831
(503) 238-5203
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
931121778
OR
Other
Enumeration date
01/08/2014
Last updated
01/08/2014
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