Organization
MARTIN MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA MARTIN ARNP (OWNER)
(425) 462-5334
Entity
Organization
Contact information
Practice address
555 116TH AVE NE STE 126, BELLEVUE, WA 98004-5233
(360) 425-5334
(360) 462-5333
Mailing address
PO BOX 11009, OLYMPIA, WA 98508-1009
(360) 352-2037
(360) 352-0637
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
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
11/30/2006
Last updated
02/10/2009
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