person
Mr. Antonio Lavelle Darshie Martin
Mental Health Counselor in Portland, Oregon
NPI 1760020994

Antonio Lavelle Darshie Martin is a Mental Health Counselor based in Tigard, OR and is specialized in Mental Health. Antonio Lavelle Darshie Martin practices in Portland, OR. The NPI Number for Antonio Lavelle Darshie Martin is 1760020994 and holds a License No. (Oregon).

The current practice location address for Antonio Lavelle Darshie Martin is 527 Se Morrison St, Portland, OR and can be reached out via phone at 503-501-5294.

Location: 527 Se Morrison St, Portland, OR, 97223-6307
person
Provider Profile Details
NPI Number
1760020994
Provider Name
Antonio Lavelle Darshie Martin
Credential
Provider Entity Type
Individual
Gender
Male
Address
527 Se Morrison St, Portland, OR, 97223-6307
Phone Number
503-501-5294
Fax Number
Provider Enumeration Date
12/18/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
527 Se Morrison St
City
State
Zip
97214-2300
Phone Number
503-501-5294
Fax Number
person
Provider Business Mailing Address Details
Address
527 Se Morrison St
City
State
Zip
97214-2300
Phone Number
503-501-5294
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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