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Individual

MARTIN BURGESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PWS

Contact information

Practice address
30 NE MLK BLVD, PORTLAND, OR 97232-2941
(503) 232-1099
Mailing address
5151 SE HOLGATE BLVD APT 201, PORTLAND, OR 97206-3887
(503) 232-1099

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
112033
OR

Other

Enumeration date
01/21/2026
Last updated
01/21/2026
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