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Contact Information

ERIC A MARTIN, CADC III, CRM, CPS
2054 N. VANCOUVER AVE
PORTLAND, OR97227
 Phone: 503-231-8164
 Fax: 503-232-4318
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for ERIC A MARTIN · (Male)

NPI Number 1033596853
Status Active
Credentials CADC III, CRM, CPS
Entity Individual
Enumeration date 04/30/2015
Last updated 04/30/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • OR License # 05-11-97
  • OR License # 11-CRM-002
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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