Individual
MR. RICHARD VAN MARTER-SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7100 SE DIVISION ST, PORTLAND, OR 97206-1143
(503) 916-6504
Mailing address
7100 SE DIVISION ST, PORTLAND, OR 97206-1143
(503) 916-6504
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/23/2008
Last updated
05/23/2008
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