DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. MARTIE M COBLENTZ, LMT

Active Sole Proprietor

MS. MARTIE M COBLENTZ, LMT is a Contractor healthcare provider located in GRAND RONDE, Oregon. NPI 1477720365 is currently active in the NPPES registry. Verify at CMS.

Contractor · GRAND RONDE, OR

Registration Details

NPI Number
1477720365
Provider Type
Individual
Gender
Female
NPI Issued
May 11, 2008 (18.259634969782 yrs)
Last Updated
May 11, 2008
Licenses
OR 12030 (OR)
MAQ00021059 (WA)
Sole Proprietor
Yes

Practice Information

Address
27725 JAHN RD
GRAND RONDE, OR, 973479735
Browse OR providers · Browse ZIP 97347
Phone
5035109110
Fax
5038795931
Primary Specialty
Contractor
171W00000X
Additional Specialty
Contractor
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.