Individual provider · Type 1 NPI

Hally Martin

Mental Health Counselor · Portland, OR

NPI number 1033404991 Active

Practice location

4925 N Albina Ave
Portland, OR 97217-2609

Mailing address

14600 NW Cornell Rd
Portland, OR 97229-5442

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1033404991

Hally Martin's National Provider Identifier is 1033404991, issued on Jun 17, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jun 17, 2011.