Individual
PAUL MICHAEL MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14600 NW CORNELL RD, PORTLAND, OR 97229-5442
(503) 645-3581
Mailing address
920 SW 173RD AVE, BEAVERTON, OR 97006-8068
(503) 952-6766
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OR
Other
Enumeration date
12/18/2018
Last updated
08/13/2019
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