Most Relevant Information
Provider Data
| NPI Number: | 1003394065 |
| Provider Name: | MARTHA LANDERS MHR |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/01/2018 |
| Last Updated: | 08/01/2018 |
Provider Practice Location
1403 F ST
SPRINGFIELD
OR
974774138
Practice Location Phone/Fax
| Phone: | 5417806213 |
| Fax: |
Provider Mailing Location
1403 F ST
SPRINGFIELD
OR
974774138
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |