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Individual

MR. OSCAR G MARTINEZ JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPN

Contact information

Practice address
3570 SE SHORELINE DR, CORVALLIS, OR 97333-3208
(541) 221-2478
Mailing address
3570 SE SHORELINE DR, CORVALLIS, OR 97333-3208

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201130664LPN
OR
164W00000X
Licensed Practical Nurse
303813
TX
164X00000X
Licensed Vocational Nurse
264258
CA

Other

Enumeration date
02/03/2012
Last updated
02/03/2012
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