Individual
MR. MARTIN G. GILLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
2577 NE COURTNEY DR, BEND, OR 97701-7638
(541) 322-7595
(541) 322-7566
Mailing address
2577 NE COURTNEY DR, BEND, OR 97701-7638
(541) 322-7595
(541) 322-7566
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1406
OR
Other
Enumeration date
05/02/2008
Last updated
06/13/2013
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