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Individual

ABIGAIL LEIGH MARTINEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10615 SE CHERRY BLOSSOM DR. STE 250, PORTLAND, OR 97216
(971) 373-4041
(971) 373-5285
Mailing address
10615 SE CHERRY BLOSSOM DR. STE 250, PORTLAND, OR 97216
(971) 373-4041
(971) 373-5285

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-183528
AK
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
09/09/2021
Last updated
05/01/2026
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