Individual
MARTHA GRIFFITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3125 CHAD DR STE 100, EUGENE, OR 97408-7440
(541) 868-9292
(541) 687-7943
Mailing address
3125 CHAD DR STE 100, EUGENE, OR 97408-7440
(541) 868-9292
(541) 687-7943
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00764
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500630714
—
PA
01
—
PA00764
MEDICAL LICENSE
OR
Enumeration date
09/16/2008
Last updated
10/14/2022
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