Individual provider · Type 1 NPI

David Michael Martin, MA, MATS, LPC

Mental Health Counselor · Portland, OR

NPI number 1093078677 Active

Practice location

1210 SE Oak St, Suite 3
Portland, OR 97214-1427

Fax (971) 229-0928

Mailing address

2704 SE Tibbetts St
Portland, OR 97202-2043

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XC3306 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1093078677

David Michael Martin, MA, MATS, LPC's National Provider Identifier is 1093078677, issued on Jun 19, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Feb 26, 2015.