Doctor Name: | MICHAEL ROY MARTEL |
NPI Number: | 1295977551 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 13209 |
Business Practice Address: | 290 Moyer Ln Nw Salem, OR - 973043822 |
Business Phone Number: | 5033708990 |
Business Fax Number: | 5033634214 |
Mailing Address: | 5757 Sw Macadam Ave, PORTLAND |
State: | OR |
Postal Code: | 972393765 |
Phone Number: | 5032285108 |
Fax Number: | 5032281352 |
NPI Enumeration Date: | 04/01/2009 |
NPI Last Update Date: | 04/01/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 13209 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |