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1336643105
TARA MARTIN
PORTLAND, OR
NPI
1336643105
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L6971)
Enumeration Date
2018-03-19
Last Update Date
2021-12-28
Business Address
TARA MARTIN LCSW
19500 SE STARK ST
PORTLAND, OR 97233-5757
Phone number: 503-669-3900
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Mailing Address
TARA MARTIN LCSW
1873 SW 33RD ST
GRESHAM, OR 97080-8563
Phone number: 503-348-5660
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