MICHAEL KELLY MARTIN

SALEM, OR
NPI1528626330
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2019-06-05
Last Update Date2019-06-05
Business Address
MICHAEL KELLY MARTIN
3876 BEVERLY AVE NE BLDG G
SALEM, OR 97305-1319
Phone number: 503-576-4506
Mailing Address
MICHAEL KELLY MARTIN
3876 BEVERLY AVE NE BLDG G
SALEM, OR 97305-1319
Phone number: 503-576-4506
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