Martin, Breann Nicole

Martin, Breann Nicole is an sole proprietor health care provider with primary practice located at 1400 Executive Pkwy Ste 260 , Eugene OR 97401-7121. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Forensic is her primary health care specialty. Martin, Breann Nicole can be contacted via phone (458) 215-5397.

Contact Information

Primary practice address
1400 Executive Pkwy Ste 260 Eugene OR 97401-7121
Phone: (458) 215-5397
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2730 Oregon
Behavioral Health & Social Service Providers / Forensic 103TF0200X 2730 Oregon

Profile Details

NPI number 1053838581
LBN Legal business name Martin, Breann Nicole
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 25th, 2017
Last updated Apr 17th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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