Individual
SUMMER MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1234 HIGH ST, EUGENE, OR 97401-3238
(541) 342-8437
(541) 242-2999
Mailing address
1258 HIGH ST, EUGENE, OR 97401-3238
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T1101
OR
Other
Enumeration date
08/02/2011
Last updated
04/27/2017
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