person
David Michael Martin, MA,MATS,LPC
Mental Health Counselor in Portland, Oregon
NPI 1093078677

David Michael Martin is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. David Michael Martin practices in Portland, OR and has the professional credentials of MA,MATS,LPC. The NPI Number for David Michael Martin is 1093078677 and holds a License No. C3306 (Oregon).

The current practice location address for David Michael Martin is 1210 Se Oak St, Portland, OR and can be reached out via phone at 503-880-1508 and via fax at 971-229-0928.

Location: 1210 Se Oak St, Portland, OR, 97202-2043
person
Provider Profile Details
NPI Number
1093078677
Provider Name
David Michael Martin
Credential
MA,MATS,LPC
Provider Entity Type
Individual
Gender
Male
Address
1210 Se Oak St, Portland, OR, 97202-2043
Phone Number
503-880-1508
Fax Number
971-229-0928
Provider Enumeration Date
06/19/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500670213 05 OR
institution
Provider Business Practice Location Address Details
Address
1210 Se Oak St
City
State
Zip
97214-1427
Phone Number
503-880-1508
Fax Number
971-229-0928
person
Provider Business Mailing Address Details
Address
1210 Se Oak St
City
State
Zip
97214-1427
Phone Number
503-880-1508
Fax Number
971-229-0928
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
C3306 (Oregon)
Definition
Definition to come...
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