# DR. MARTIN NICHOLAS BOMALASKI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1508109349
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | MD189020 | OR | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | MD60739177 | WA | Yes |

## Other

- **Enumeration date:** 03/29/2013
- **Last updated:** 01/24/2020