# MARTIN FAMILY MEDICINE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710118542
- **Authorized official:** DAVID BARCLAY MARTIN M.D. (PHYSICIAN)
- **Authorized official phone:** (509) 751-9981

## Contact information

- **Practice address:** 1625 5TH ST, CLARKSTON, WA 99403-3001
- **Practice address phone:** (509) 751-9981
- **Practice address fax:** (509) 751-9983
- **Mailing address:** 1625 5TH ST, CLARKSTON, WA 99403-3001
- **Mailing address phone:** (509) 751-9981
- **Mailing address fax:** (509) 751-9983

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/28/2009
- **Last updated:** 07/24/2019