Provider Demographics
NPI:1477838035
Name:MARTIN, ORION GUINN (MSP)
Entity Type:Individual
Prefix:MR
First Name:ORION
Middle Name:GUINN
Last Name:MARTIN
Suffix:
Gender:M
Credentials:MSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1774 ALDER ST
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-4447
Mailing Address - Country:US
Mailing Address - Phone:541-915-8970
Mailing Address - Fax:
Practice Address - Street 1:1774 ALDER ST
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-4447
Practice Address - Country:US
Practice Address - Phone:541-915-8970
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-14
Last Update Date:2016-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)