MICHAEL ROBERT MARTINI

GRESHAM, OR
NPI1598223737
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  19-06-03)
Enumeration Date2019-03-06
Last Update Date2025-07-22
Business Address
Mr. MICHAEL ROBERT MARTINI CADC2
21440 SE STARK ST
GRESHAM, OR 97030-2024
Phone number: 971-610-7582
Mailing Address
Mr. MICHAEL ROBERT MARTINI CADC2
21440 SE STARK ST
GRESHAM, OR 97030-2024
Phone number: 971-610-7582