person
Martin Kenneth Gaiter
Addiction (Substance Use Disorder) Counselor in Eugene, Oregon
NPI 1265131775

Martin Kenneth Gaiter is an Addiction (Substance Use Disorder) Counselor based in Springfield, OR and is specialized in Addiction (Substance Use Disorder). Martin Kenneth Gaiter practices in Eugene, OR. The NPI Number for Martin Kenneth Gaiter is 1265131775 and holds a License No. 108291 (Oregon).

The current practice location address for Martin Kenneth Gaiter is 2411 Mlk Jr Blvd, Eugene, OR and can be reached out via phone at 541-682-3550 and via fax at 541-682-9861.

Location: 2411 Mlk Jr Blvd, Eugene, OR, 97477-3413
person
Provider Profile Details
NPI Number
1265131775
Provider Name
Martin Kenneth Gaiter
Credential
Provider Entity Type
Individual
Gender
Male
Address
2411 Mlk Jr Blvd, Eugene, OR, 97477-3413
Phone Number
541-682-3550
Fax Number
541-682-9861
Provider Enumeration Date
02/23/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2761438 01 OR OREGON DRIVER LICENSE
institution
Provider Business Practice Location Address Details
Address
2411 Mlk Jr Blvd
City
State
Zip
97401-5824
Phone Number
541-682-3550
Fax Number
541-682-9861
person
Provider Business Mailing Address Details
Address
2411 Mlk Jr Blvd
City
State
Zip
97401-5824
Phone Number
541-682-3550
Fax Number
541-682-9861
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
108291 (Oregon)
Definition
Definition to come...
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