MS. Martie M Coblentz, LMT

NPI #1477720365 in Grand Ronde, Oregon

Provider Information

NPI Number: 1477720365
Entity Type: Individual
Name: MS. Martie M Coblentz, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Credential: LMT
Enumeration Date: May 11, 2008
Last Updated: May 11, 2008

Practice Location

Address: 27725 JAHN RD
City: Grand Ronde
State: Oregon
ZIP Code: 97347-9735
Phone: (503) 510-9110

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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