Individual
ELIZABETH MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHA-R
Contact information
Practice address
122 NE 47TH ST, NEWPORT, OR 97365-1429
(541) 574-0841
Mailing address
PO BOX 707, NEWPORT, OR 97365-0050
(541) 574-0841
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
25-QMHA-R-7932
OR
Other
Enumeration date
01/01/2026
Last updated
01/01/2026
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