Individual provider · Type 1 NPI

Shannon Ruth Martinez

Addiction (Substance Use Disorder) Counselor · Baker City, OR

NPI number 1619757879 Active

Practice location

3610 Midway Dr
Baker City, OR 97814-1466

Fax (541) 523-9237

Mailing address

3425 13th St
Baker City, OR 97814-1340

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XT-23-3155 (OR)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1619757879

Shannon Ruth Martinez's National Provider Identifier is 1619757879, issued on Oct 4, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Baker City, OR. The record was last updated on Oct 4, 2023.