Individual provider · Type 1 NPI

Martin Gates Lundell

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1972018919 Active

Practice location

2600 SE Belmont St
Portland, OR 97214-2916

Specialties and licenses

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

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

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About NPI 1972018919

Martin Gates Lundell's National Provider Identifier is 1972018919, issued on Dec 13, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portland, OR. The record was last updated on Dec 13, 2017.