Individual
ANDREA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
4805 NE GLISAN ST, PORTLAND, OR 97213-2933
(503) 215-6059
(503) 215-6394
Mailing address
4827 NE 78TH AVE, PORTLAND, OR 97218-4121
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4443
OR
Other
Enumeration date
05/23/2007
Last updated
10/09/2020
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