Individual
MARTIN LEE NELMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRM
Contact information
Practice address
1966 GARDEN AVE, EUGENE, OR 97403-1933
(541) 505-9190
Mailing address
1966 GARDEN AVE, EUGENE, OR 97403-1933
(541) 505-9190
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
T-25-6137
OR
101YM0800X
Mental Health Counselor
25-QMHA-R-8047
OR
175T00000X
Peer Specialist
Primary
105649
OR
Other
Enumeration date
09/30/2021
Last updated
01/05/2026
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