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1194228197
ZACHARY MARTIN
NORTH BEND, OR
NPI
1194228197
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR T-18-108)
Enumeration Date
2018-03-15
Last Update Date
2018-03-15
Business Address
ZACHARY MARTIN
400 VIRGINIA AVE STE 201
NORTH BEND, OR 97459-3444
Phone number: 541-672-2691
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Mailing Address
ZACHARY MARTIN
PO BOX 1121
ROSEBURG, OR 97470-0254
Phone number:
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