Organization Name: | MARTHA JAMES |
NPI Number: | 1588862643 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARTHA FAYE JAMES (COUNSELOR) |
Mailing Address: | 5052 Ne 42nd Ave Portland |
State: | OR US |
Postal Code: | 972181550 |
Phone Number: | 5039332837 |
Fax Number: | |
NPI Enumeration Date: | 07/10/2007 |
NPI Last Update Date: | 07/10/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | 5536 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OR |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |