Individual
MARTHA ANN DAMATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
10500 SW GREENBURG RD, TIGARD, OR 97223-1406
(503) 684-9698
Mailing address
22210 SW MURDOCK RD, APT A-3, SHERWOOD, OR 97140-9764
(541) 914-2984
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
9161
OR
Other
Enumeration date
10/06/2009
Last updated
10/06/2009
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