Individual
PETER MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
6250 COMMERCIAL ST SE, SALEM, OR 97306-2988
(503) 877-4974
(503) 822-0328
Mailing address
4742 LIBERTY RD S # 2032, SALEM, OR 97302-5037
(503) 877-4974
(503) 822-0328
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
63233
OR
225100000X
Physical Therapist
PT-1891
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500763724
—
OR
Enumeration date
05/29/2019
Last updated
05/02/2026
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