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1194916064
WENDY VANNESSA MARTIN
PORTLAND, OR
NPI
1194916064
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Other Name
W VANNESSAR MARTIN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-08-06
Last Update Date
2007-08-06
Business Address
-- WENDY VANNESSA MARTIN CADCII
1300 SW WASHINGTON ST
PORTLAND, OR 97205-2327
Phone number: 503-535-1150
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Mailing Address
-- WENDY VANNESSA MARTIN CADCII
149 NE 168TH AVE
PORTLAND, OR 97230-6209
Phone number: 503-535-1150
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