MARTIN GATES LUNDELL

PORTLAND, OR
NPI1972018919
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2017-12-13
Last Update Date2017-12-13
Business Address
MARTIN GATES LUNDELL
2600 SE BELMONT ST
PORTLAND, OR 97214-2916
Phone number: 503-465-5586
Mailing Address
MARTIN GATES LUNDELL
2600 SE BELMONT ST
PORTLAND, OR 97214-2916
Phone number:
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