Ian Roth Martin
Ian Roth Martin is a Behavior Technician in Portland, Oregon. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
121 SW Salmon St Fl 11Portland, OR 97204-2908
Phone: (855) 832-6727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1740949247 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 12, 2021 |
| Last updated in NPPES | December 12, 2021 |
| Certification date | December 12, 2021 |
| Mailing address | 7108 S Kanner Hwy, Stuart, FL 34997-7462 |
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