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Individual

MS. DONNA MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
555 116TH AVE NE, BELLEVUE, WA 98004-5232
(425) 462-5334
Mailing address
PO BOX 11009, STE 526, OLYMPIA, WA 98508-1009
(360) 352-2037

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00115340
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0104981
L&I #
WA
05
9037895
WA
05
9037896
WA
01
MA9226
REGENCE RIDER #
WA
Enumeration date
04/21/2008
Last updated
04/23/2008
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