person
Derrick E Martin SR.
Mental Health Counselor in Portland, Oregon
NPI 1396031209

Derrick E Martin SR. is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Derrick E Martin SR. practices in Portland, OR. The NPI Number for Derrick E Martin SR. is 1396031209 and holds a License No. (Oregon).

The current practice location address for Derrick E Martin SR. is 55 Ne Grand Ave, Portland, OR and can be reached out via phone at 510-337-7950.

Location: 55 Ne Grand Ave, Portland, OR, 97232
person
Provider Profile Details
NPI Number
1396031209
Provider Name
Derrick E Martin SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
55 Ne Grand Ave, Portland, OR, 97232
Phone Number
510-337-7950
Fax Number
Provider Enumeration Date
06/20/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
55 Ne Grand Ave
City
State
Zip
97232
Phone Number
510-337-7950
Fax Number
person
Provider Business Mailing Address Details
Address
55 Ne Grand Ave
City
State
Zip
97232
Phone Number
510-337-7950
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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