Individual
AMANDA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1525 SW SHIRLEY ANN DR, MCMINNVILLE, OR 97128-7665
(971) 287-4069
Mailing address
299 SW MT MAZAMA ST, MCMINNVILLE, OR 97128-5565
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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