Individual provider · Type 1 NPI

Martie M. Coblentz, LMT

Contractor · Grand Ronde, OR

NPI number 1477720365 Active

Practice location

27725 Jahn Rd
Grand Ronde, OR 97347-9735

Fax (503) 879-5931

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000XOR 12030 (OR)
Contractor 171W00000XMAQ00021059 (WA)

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

About NPI 1477720365

Martie M. Coblentz, LMT's National Provider Identifier is 1477720365, issued on May 11, 2008. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Grand Ronde, OR. The record was last updated on May 11, 2008.