PAUL MICHAEL MARTIN

PORTLAND, OR
NPI1659843431
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-12-18
Last Update Date2019-08-13
Business Address
PAUL MICHAEL MARTIN
14600 NW CORNELL RD
PORTLAND, OR 97229-5442
Phone number: 503-645-3581
Mailing Address
PAUL MICHAEL MARTIN
920 SW 173RD AVE
BEAVERTON, OR 97006-8068
Phone number: 503-952-6766