Individual
MAYA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
12732 SE STARK ST, PLAZA 125 BUILDING G, PORTLAND, OR 97233-1539
(503) 844-2715
Mailing address
6530 SE 63RD AVE, PORTLAND, OR 97206-7402
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC171237
OR
Other
Enumeration date
02/23/2015
Last updated
02/23/2015
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