Individual
CARMEN MARTINEZ VALENZUELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
820 COTTAGE ST NE, SALEM, OR 97301-2426
(503) 399-1135
Mailing address
2956 SURF CT NE, SALEM, OR 97305-2750
(503) 510-9433
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
427579
OR
Other
Enumeration date
10/02/2019
Last updated
10/02/2019
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