Individual
MR. PATRICK R MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
12655 SW CENTER ST STE 100, BEAVERTON, OR 97005-1600
(971) 224-6319
Mailing address
5002 FOOTHILLS RD APT E, LAKE OSWEGO, OR 97034-3169
(503) 841-2229
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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