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NPI Code Detail

MEDICARE: ERNIE MARTINEZ-TORRECILLAS

MEDICARE: ERNIE MARTINEZ-TORRECILLAS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist25729OR
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1871255000
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERNIE MARTINEZ-TORRECILLAS
Provider Business Mailing Address
First Line : 2800 VILLAGE CT
Second Line :
City : MERCED
State : CA
Zip : 95348-3561
Country : US
Telephone Number : 503-374-2200
Fax Number :
Provider Business Practice Location Address
First Line : 6828 SE HOLGATE BLVD
Second Line :
City : PORTLAND
State : OR
Zip : 97206-3504
Country : US
Telephone Number : 503-374-2200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2021
Last Update Date : 12/31/2023

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Directions to “ ERNIE MARTINEZ-TORRECILLAS ” Practice Location

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