Kevin Chavez Martinez
Social Worker, School in Medford, OR. Individual provider (NPI-1).
NPI number1982256640
StatusActive
Last updated in NPPESJul 12, 2019
Details
- NPI
- 1982256640
- Entity type
- Individual (NPI-1)
- Name
- Kevin Chavez Martinez
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 12, 2019
- Last updated
- Jul 12, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041S0200X | Social Worker, School | – | – | Yes |
Practice location
500 Monroe StMedford, OR 97501-3522
Phone 541-608-6868 · Fax 541-608-6869
Mailing address
500 Monroe StMedford, OR 97501-3522
Phone 541-608-6868 · Fax 541-608-6869
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