Individual
KATHERINE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4385 SUNNYVIEW RD NE, SALEM, OR 97305-1869
(503) 400-3340
Mailing address
1750 NEBRASKA AVE BLDG A, GRANTS PASS, OR 97527-5700
(541) 956-4943
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/13/2018
Last updated
11/13/2018
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