Individual
JESSICA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11611 NE AINSWORTH CIR, PORTLAND, OR 97220-9017
(503) 255-1841
Mailing address
1117 NE SKIDMORE ST, PORTLAND, OR 97211-4665
(415) 305-9398
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
201141649RN
OR
Other
Enumeration date
03/19/2026
Last updated
03/19/2026
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