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1659843431
PAUL MICHAEL MARTIN
PORTLAND, OR
NPI
1659843431
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-12-18
Last Update Date
2019-08-13
Business Address
PAUL MICHAEL MARTIN
14600 NW CORNELL RD
PORTLAND, OR 97229-5442
Phone number: 503-645-3581
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Mailing Address
PAUL MICHAEL MARTIN
920 SW 173RD AVE
BEAVERTON, OR 97006-8068
Phone number: 503-952-6766
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