Shane Douglas Martin, CRM
NPI #1417439092 in Prineville, Oregon
Provider Information
- NPI Number
- 1417439092
- Entity Type
- Individual
- Name
- Shane Douglas Martin, CRM
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- CRM
- Enumeration Date
- Aug 30, 2018
- Last Updated
- Aug 30, 2018
Practice Location
- Address
- 1333 NW 9TH ST
- City
- Prineville
- State
- Oregon
- ZIP Code
- 97754-1482
- Phone
- (541) 447-2631
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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