Individual
BARBARA ELIZABETH MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
727 W BURNISDE, PORTLAND, OR 97209
(503) 228-4533
Mailing address
232 NW 6TH AVE, PORTLAND, OR 97209-3609
(503) 228-4533
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01041
OR
Other
Enumeration date
05/04/2006
Last updated
09/24/2014
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