Individual provider · Type 1 NPI

Timothy John Martin

Mental Health Counselor · Tigard, OR

NPI number 1235476086 Active

Practice location

8915 SW Center Street
Tigard, OR 97223

Call (503) 726-3691 Map

Mailing address

1405 SE 40th Ave
Portland, OR 97214-4406

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1235476086

Timothy John Martin's National Provider Identifier is 1235476086, issued on Jan 14, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tigard, OR. The record was last updated on Jan 14, 2013.