EZEKIEL MARTIN

PORTLAND, OR
NPI1598137747
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2015-10-28
Last Update Date2015-10-28
Business Address
-- EZEKIEL MARTIN BA, PSS
2901 E BURNSIDE ST
PORTLAND, OR 97214-1831
Phone number: 503-238-5203
Mailing Address
-- EZEKIEL MARTIN BA, PSS
2901 E BURNSIDE
PORTLAND, OR 97214
Phone number: