Individual provider · Type 1 NPI

Megan Lilah Martin, MA

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1003579194 Active

Practice location

19500 SE Stark St
Portland, OR 97233-5757

Mailing address

4743 SE 75th Ave
Portland, OR 97206-4351

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XR7876 (OR)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1003579194

Megan Lilah Martin, MA's National Provider Identifier is 1003579194, issued on Oct 15, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portland, OR. The record was last updated on Jan 9, 2023.