Individual
DR. LARRY GENE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AU.D.
Contact information
Practice address
983 NW SPRUCE AVE, CORVALLIS, OR 97330-2111
(541) 753-2068
(541) 753-5392
Mailing address
983 NW SPRUCE AVE, CORVALLIS, OR 97330-2111
(541) 753-2068
(541) 753-5392
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
20896
OR
Other
Enumeration date
10/26/2009
Last updated
10/26/2009
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