NATHAN MART

EUGENE, OR
NPI1497113765
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  13-12-66)
Enumeration Date2016-02-02
Last Update Date2016-02-02
Business Address
-- NATHAN MART CADC II
4211 W 11TH AVE
EUGENE, OR 97402-5435
Phone number: 541-485-1577
Mailing Address
-- NATHAN MART CADC II
PO BOX 26109
EUGENE, OR 97402-0463
Phone number: 541-485-1577
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