Individual
STEPHANIE LOUISE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC II
Contact information
Practice address
4585 SW 185TH AVE, ALOHA, OR 97078-1557
(503) 591-9280
(503) 848-2072
Mailing address
4585 SW 185TH AVE, ALOHA, OR 97078-1557
(503) 591-9280
(503) 848-2072
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18-02-25
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
03/03/2015
Last updated
06/07/2019
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