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1235476086
TIMOTHY JOHN MARTIN
TIGARD, OR
NPI
1235476086
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-01-14
Last Update Date
2013-01-14
Business Address
Mr. TIMOTHY JOHN MARTIN
8915 SW CENTER STREET
TIGARD, OR 97223
Phone number: 503-726-3691
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Mailing Address
Mr. TIMOTHY JOHN MARTIN
1405 SE 40TH AVE
PORTLAND, OR 97214-4406
Phone number: 816-588-5461
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