Individual
DOUGLAS S MARTINDALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSTCFA
Contact information
Practice address
342 FAIRVIEW ST, SILVERTON, OR 97381-1917
(503) 873-1701
Mailing address
6414 HONEYWOOD CT NE, KEIZER, OR 97303-1187
(503) 873-1701
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
OR
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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