MARTIN KENNETH GAITER

EUGENE, OR
NPI1265131775
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  108291)
Enumeration Date2023-02-23
Last Update Date2023-02-23
Business Address
MARTIN KENNETH GAITER
2411 MLK JR BLVD
EUGENE, OR 97401-5824
Phone number: 541-682-3550
Mailing Address
MARTIN KENNETH GAITER
2073 OLYMPIC ST
SPRINGFIELD, OR 97477-3413
Phone number: 541-682-3550
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