Individual
JO M MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9900 SE SUNNYSIDE RD, NW PERMANENTE PC, PHYSICIANS AND SURGEONS, CLACKAMAS, OR 97015-9777
(503) 571-3332
Mailing address
9900 SE SUNNYSIDE RD, NW PERMANENTE PC, PHYSICIANS AND SURGEONS, CLACKAMAS, OR 97015-9777
(503) 571-3332
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD163184
OR
Other
Enumeration date
05/19/2009
Last updated
10/02/2020
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