| Shannon Ruth Martinez, | |
|
3610 Midway Dr, Baker City, OR 97814-1466 | |
| (541) 523-6581 | |
| (541) 523-9237 |
| Full Name | Shannon Ruth Martinez |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 3610 Midway Dr, Baker City, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619757879 | NPI | - | NPPES |
| ZA120782B | Other | ID | DRIVERS LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | T-23-3155 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Ruth Martinez, 3425 13th St, Baker City, OR 97814-1340 Ph: (541) 523-7400 | Shannon Ruth Martinez, 3610 Midway Dr, Baker City, OR 97814-1466 Ph: (541) 523-6581 |
Ms. Amy Cloudt, CADC I Counselor Medicare: Not Enrolled in Medicare Practice Location: 3600 13th St, Baker City, OR 97814 Phone: 541-523-9559 Fax: 541-523-8067 | |
Raeann J Butler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2200 4th St, Baker City, OR 97814 Phone: 541-523-3646 | |
Cassie Glerup, QMHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2200 4th St, Baker City, OR 97814 Phone: 541-523-3646 Fax: 541-523-7602 | |
Ted Woodruff, CRM Counselor Medicare: Not Enrolled in Medicare Practice Location: 3425 13th St, Baker City, OR 97814 Phone: 541-523-7400 Fax: 541-523-4927 | |
Shad M Thomas, LCSW, MSW, CADC III Counselor Medicare: Medicare Enrolled Practice Location: 2200 4th St, Baker City, OR 97814 Phone: 541-573-7303 Fax: 541-573-5938 | |
Dara Michelle Fields, FNP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2200 4th Street, Baker City, OR 97814 Phone: 541-523-3646 Fax: 541-523-7602 | |
Katie Elizabeth Leal, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3425 13th St, Baker City, OR 97814 Phone: 541-523-7400 Fax: 541-523-7400 |