Individual
DR. JUNIPER MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.D.
Contact information
Practice address
11845 SW GREENBURG RD STE 110, TIGARD, OR 97223-6464
(971) 328-0071
(503) 443-2142
Mailing address
11845 SW GREENBURG RD STE 110, TIGARD, OR 97223-6464
(971) 328-0071
(503) 443-2142
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
1621
OR
202D00000X
Integrative Medicine Physician
1621
OR
207Q00000X
Family Medicine Physician
1621
OR
208D00000X
General Practice Physician
1621
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500648182
—
OR
Enumeration date
11/04/2008
Last updated
12/11/2024
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