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1093078677
DAVID MICHAEL MARTIN
PORTLAND, OR
NPI
1093078677
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR C3306)
Enumeration Date
2012-06-19
Last Update Date
2015-02-26
Business Address
-- DAVID MICHAEL MARTIN MA, MATS, LPC
1210 SE OAK ST SUITE 3
PORTLAND, OR 97214-1427
Phone number: 503-880-1508
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Mailing Address
-- DAVID MICHAEL MARTIN MA, MATS, LPC
2704 SE TIBBETTS ST
PORTLAND, OR 97202-2043
Phone number: 503-880-1508
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