Individual
ALLISON KAY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2265 EXCHANGE ST, ASTORIA, OR 97103-3331
(503) 325-7337
Mailing address
2111 EXCHANGE ST, ASTORIA, OR 97103-3329
(503) 338-4027
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
169160
OR
208000000X
Pediatrics Physician
275028-1
NY
Other
Enumeration date
05/19/2010
Last updated
09/18/2014
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