Individual
JULIE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
2834 NE 52ND AVE, PORTLAND, OR 97213-2540
(503) 807-9633
Mailing address
2834 NE 52ND AVE, PORTLAND, OR 97213-2540
(503) 807-9633
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05635
OR
Other
Enumeration date
05/15/2012
Last updated
05/15/2012
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