Provider / Organization | NPI | Date Certified |
---|---|---|
CATHERINE DAWN MARTIN | 1548837859 | 2021-06-06 |
Catherine Dawn Martin is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1548837859. Registration indicates Catherine Dawn Martin is a provider of services with a specialization in Other Service Providers, Case Manager/Care Coordinator (Case Manager/Care Coordinator, ) (All Other Specialties & Provider Types, ) (Case Manager/Care Coordinator, Other Service Providers) (Other Service Providers, Peer Specialist) (Peer Specialist, Other Service Providers) (Peer Specialist, )
Entity Type | Individual |
Provider Name | Catherine Dawn Martin PSS, CRM |
Practice Office Address | 535 SW WESTVALE ST MCMINNVILLE, OR US |
Practice Office Telephone | 5413067587 |
Mailing Address | 535 SW WESTVALE ST MCMINNVILLE, OR 971287123 US |
Business Telephone | 5413067587 |
Code | Practice | License No State |
---|---|---|
171M00000X | Other Service Providers Case Manager/Care Coordinator Case Manager/Care Coordinator All Other Specialties & Provider Types Case Manager/Care Coordinator Other Service Providers | |
175T00000X PRIMARY | Other Service Providers Peer Specialist Peer Specialist Other Service Providers Peer Specialist |