MARTIE M COBLENTZ

GRAND RONDE, OR
NPI1477720365
Other NameMARTHA M COBLENTZ
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171W00000X Contractor
(Licence: OR  OR 12030)
Additional Taxonomies171W00000X Contractor
(Licence: WA  MAQ00021059)
Enumeration Date2008-05-11
Last Update Date2008-05-11
Business Address
MS. MARTIE M COBLENTZ LMT
27725 JAHN RD
GRAND RONDE, OR 97347-9735
Phone number: 503-510-9110
Mailing Address
MS. MARTIE M COBLENTZ LMT
27725 JAHN RD
GRAND RONDE, OR 97347-9735
Phone number: 503-510-9110