Most Relevant Information
Provider Data
| NPI Number: | 1003579194 |
| Provider Name: | MEGAN LILAH MARTIN MA |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | R7876 |
Most Important Dates
| Enumeration Date: | 10/15/2021 |
| Last Updated: | 01/09/2023 |
Provider Practice Location
19500 SE STARK ST
PORTLAND
OR
972335757
Practice Location Phone/Fax
| Phone: | 8008132000 |
| Fax: |
Provider Mailing Location
4743 SE 75TH AVE
PORTLAND
OR
972064351
Provider Mailing Phone/Fax
| Phone: | 5039754097 |
| Fax: |