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1912348780
NICHOLAS ALLEN MARTIN
CORVALLIS, OR
NPI
1912348780
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-07-09
Last Update Date
2013-07-09
Business Address
-- NICHOLAS ALLEN MARTIN
4455 NE HIGHWAY 20
CORVALLIS, OR 97330-9695
Phone number: 541-757-1852
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Mailing Address
-- NICHOLAS ALLEN MARTIN
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number: 503-234-9591
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