Individual
CARLY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
6230 NE HALSEY ST, PORTLAND, OR 97213-4718
(971) 279-2294
Mailing address
4103B SE MAIN ST, PORTLAND, OR 97214-4431
(619) 306-0655
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
—
—
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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