Individual
MRS. PAULINE G MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2411 MLK JR BLVD, EUGENE, OR 97401-5824
(541) 682-3550
(541) 682-9861
Mailing address
2073 OLYMPIC ST (RIVERSTONE CLINIC), SPRINGFIELD OR, OR 97477
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L4676
OR
Other
Enumeration date
01/25/2019
Last updated
01/25/2019
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