Individual
MICHAEL MARTYNOWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4620 SW 183RD CT, BEAVERTON, OR 97078-1636
(541) 848-7007
Mailing address
4620 SW 183RD CT, BEAVERTON, OR 97078-1636
(541) 848-7007
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
—
—
Other
Enumeration date
05/28/2018
Last updated
05/28/2018
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