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1528471968
ANDREA MICHELLE MARTIN
PORTLAND, OR
NPI
1528471968
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR C2506)
Enumeration Date
2014-06-03
Last Update Date
2014-06-03
Business Address
-- ANDREA MICHELLE MARTIN M.A.
1904 SE DIVISION ST
PORTLAND, OR 97202-1146
Phone number: 503-517-8663
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Mailing Address
-- ANDREA MICHELLE MARTIN M.A.
1904 SE DIVISION ST
PORTLAND, OR 97202-1146
Phone number: 503-517-8663
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