SHANE DOUGLAS MARTIN

PRINEVILLE, OR
NPI1417439092
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-08-30
Last Update Date2018-08-30
Business Address
SHANE DOUGLAS MARTIN CRM
1333 NW 9TH ST
PRINEVILLE, OR 97754-1482
Phone number: 541-447-2631
Mailing Address
SHANE DOUGLAS MARTIN CRM
1333 NW 9TH ST
PRINEVILLE, OR 97754-1482
Phone number: 541-447-2631
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