person
Shannon Ruth Martinez
Addiction (Substance Use Disorder) Counselor in Baker City, Oregon
NPI 1619757879

Shannon Ruth Martinez is an Addiction (Substance Use Disorder) Counselor based in Baker City, OR and is specialized in Addiction (Substance Use Disorder). Shannon Ruth Martinez practices in Baker City, OR. The NPI Number for Shannon Ruth Martinez is 1619757879 and holds a License No. T-23-3155 (Oregon).

The current practice location address for Shannon Ruth Martinez is 3610 Midway Dr, Baker City, OR and can be reached out via phone at 541-523-6581 and via fax at 541-523-9237.

Location: 3610 Midway Dr, Baker City, OR, 97814-1340
person
Provider Profile Details
NPI Number
1619757879
Provider Name
Shannon Ruth Martinez
Credential
Provider Entity Type
Individual
Gender
Female
Address
3610 Midway Dr, Baker City, OR, 97814-1340
Phone Number
541-523-6581
Fax Number
541-523-9237
Provider Enumeration Date
10/04/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZA120782B 01 ID DRIVERS LICENSE
institution
Provider Business Practice Location Address Details
Address
3610 Midway Dr
City
State
Zip
97814-1466
Phone Number
541-523-6581
Fax Number
541-523-9237
person
Provider Business Mailing Address Details
Address
3610 Midway Dr
City
State
Zip
97814-1466
Phone Number
541-523-6581
Fax Number
541-523-9237
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
T-23-3155 (Oregon)
Definition
Definition to come...
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