Individual
PATRICK DEMARTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-4471
(401) 444-7574
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-5150
(503) 418-5165
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
LP03444
RI
208000000X
Pediatrics Physician
MD187076
OR
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
MD187076
OR
Other
Enumeration date
05/18/2015
Last updated
07/06/2021
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