IndividualActive
Carmen Knudson-Martin
NPI 1609201615 · Marriage & Family Therapist · Fairview, OR
Provider details
- NPI number
- 1609201615
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- T0736 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
21121 Ne Shore Dr
Fairview, OR 97024-6762
Phone: (909) 262-7725
Approximate (ZIP-level) locationGet directions
Mailing address
21121 Ne Shore Dr
Fairview, OR 97024-6762
Registry dates
- Enumerated
- 2013-09-10
- Last updated
- 2013-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.