NPI 1528222056

Tianna Renee Martinez, LMT

Practitioner Specialist West Linn, OR

Practice location

Address: 19691 Sun Cir, West Linn, OR 97068-1913
Phone: (503) 250-0648

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 11857 (OR)

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Registry record

NPI: 1528222056
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Jul 2008
Record last updated: 14 Jul 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.