DERRICK E MARTIN

PORTLAND, OR
NPI1396031209
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2011-06-20
Last Update Date2011-06-20
Business Address
-- DERRICK E MARTIN
55 NE GRAND AVE
PORTLAND, OR 97232
Phone number: 510-337-7950
Mailing Address
-- DERRICK E MARTIN
55 NE GRAND AVE
PORTLAND, OR 97232
Phone number: 510-337-7950
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