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1932682143
LILLY MARTIN
PORTLAND, OR
NPI
1932682143
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L10969)
Enumeration Date
2018-09-13
Last Update Date
2022-05-02
Business Address
LILLY MARTIN
12121 E BURNSIDE ST
PORTLAND, OR 97216-3737
Phone number: 971-361-7700
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Mailing Address
LILLY MARTIN
232 NW 6TH AVENUE ATTN: CREDENTIALING
PORTLAND, OR 97209
Phone number: 503-501-5641
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