Individual provider · Type 1 NPI
Eric Allen Martin, CADC III, CRM, CPS
Addiction (Substance Use Disorder) Counselor · Portland, OR
NPI number
1033596853
Active
Practice location
2054 N. Vancouver Ave
Portland, OR 97227
Fax (503) 232-4318
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 05-11-97 (OR) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 11-CRM-002 (OR) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1033596853
Eric Allen Martin, CADC III, CRM, CPS's National Provider Identifier is 1033596853, issued on Apr 30, 2015. 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 Apr 30, 2015.