Individual
DR. JAMES MELVIN MARTINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 216-2906
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57536
MT
207R00000X
Internal Medicine Physician
Primary
MD151764
OR
208000000X
Pediatrics Physician
MD151764
OR
208M00000X
Hospitalist Physician
MD151764
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500622826
—
OR
01
—
P00940166
RR MEDICARE (PH&S)-PMG
OR
Enumeration date
08/13/2006
Last updated
07/22/2021
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