ZACHARY MARTIN

NORTH BEND, OR
NPI1194228197
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  T-18-108)
Enumeration Date2018-03-15
Last Update Date2018-03-15
Business Address
ZACHARY MARTIN
400 VIRGINIA AVE STE 201
NORTH BEND, OR 97459-3444
Phone number: 541-672-2691
Mailing Address
ZACHARY MARTIN
PO BOX 1121
ROSEBURG, OR 97470-0254
Phone number: