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Individual

MAEGEN MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, MA

Contact information

Practice address
222 SE 8TH AVE STE 21297123, HILLSBORO, OR 97123-4218
(503) 352-7333
Mailing address
905 SE 14TH AVE, PORTLAND, OR 97214-2569
(503) 622-8964

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
05/18/2021
Last updated
04/10/2026
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