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1184278707
LISA MARTINEZ
SALEM, OR
NPI
1184278707
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 18-06-17)
Enumeration Date
2019-07-31
Last Update Date
2019-08-28
Business Address
LISA MARTINEZ
1160 LIBERTY ST SE
SALEM, OR 97302-4143
Phone number: 503-391-9762
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Mailing Address
LISA MARTINEZ
1160 LIBERTY ST SE
SALEM, OR 97302-4143
Phone number:
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