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: