Individual
DR. ELIZABETH MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, MHA, OTR/L
Contact information
Practice address
4339 NE 115TH AVE, PORTLAND, OR 97220-1409
(503) 882-0988
(503) 882-0917
Mailing address
4339 NE 115TH AVE, PORTLAND, OR 97220-1409
(503) 882-0988
(503) 882-0917
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
349133
OR
225XM0800X
Mental Health Occupational Therapist
Primary
349133
OR
Other
Enumeration date
02/24/2017
Last updated
05/17/2023
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