Individual provider · Type 1 NPI

Carol Martin

Mental Health Counselor · Portland, OR

NPI number 1194928556 Active

Practice location

1027 E Burnside St
Portland, OR 97214-1328

Call (503) 239-8400 Map

Fax (503) 760-7463

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Other practice locations

  • 12511 SE Raymond St, Portland, OR 97236-3931 · (503) 761-2580

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1194928556

Carol Martin's National Provider Identifier is 1194928556, issued on Jun 6, 2007. 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 22, 2023.