Individual
MR. MARTIN ESTRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADCI, CPS
Contact information
Practice address
3014 SW CORBETH LN, TROUTDALE, OR 97060-3176
(503) 318-5551
Mailing address
3014 SW CORBETH LN, TROUTDALE, OR 97060-3176
(503) 318-5551
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
07-06-15
OR
174400000X
Specialist
09-CPS-004
OR
Other
Enumeration date
01/13/2011
Last updated
01/13/2011
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