Individual
AMY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 SOUTHGATE STE 6, PENDLETON, OR 97801-3973
(775) 309-3724
Mailing address
464 NW 21ST ST, PENDLETON, OR 97801-1168
(775) 309-3724
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
0004455
CO
235Z00000X
Speech-Language Pathologist
Primary
015065
OR
Other
Enumeration date
07/27/2021
Last updated
02/26/2026
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