person
Shane Douglas Martin, CRM
Addiction (Substance Use Disorder) Counselor in Prineville, Oregon
NPI 1417439092

Shane Douglas Martin is an Addiction (Substance Use Disorder) Counselor based in Prineville, OR and is specialized in Addiction (Substance Use Disorder). Shane Douglas Martin practices in Prineville, OR and has the professional credentials of CRM. The NPI Number for Shane Douglas Martin is 1417439092 and holds a License No. (Oregon).

The current practice location address for Shane Douglas Martin is 1333 Nw 9Th St, Prineville, OR and can be reached out via phone at 541-447-2631.

Location: 1333 Nw 9Th St, Prineville, OR, 97754-1482
person
Provider Profile Details
NPI Number
1417439092
Provider Name
Shane Douglas Martin
Credential
CRM
Provider Entity Type
Individual
Gender
Male
Address
1333 Nw 9Th St, Prineville, OR, 97754-1482
Phone Number
541-447-2631
Fax Number
Provider Enumeration Date
08/30/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1333 Nw 9Th St
City
State
Zip
97754-1482
Phone Number
541-447-2631
Fax Number
person
Provider Business Mailing Address Details
Address
1333 Nw 9Th St
City
State
Zip
97754-1482
Phone Number
541-447-2631
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
(Oregon)
Definition
Definition to come...
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