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1386765006
DON MARTINEZ
PORTLAND, OR
NPI
1386765006
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 06-R-04)
Enumeration Date
2007-04-02
Last Update Date
2007-07-08
Business Address
-- DON MARTINEZ
1776 SW MADISON ST
PORTLAND, OR 97205-1715
Phone number: 503-231-2641
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Mailing Address
-- DON MARTINEZ
5029 SW DICKINSON ST
PORTLAND, OR 97219-8661
Phone number: 503-231-2641
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