Individual
MICHAEL STEPHEN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3600 N INTERSTATE AVE, PORTLAND, OR 97227-1106
(503) 285-9321
Mailing address
PO BOX 19029, PORTLAND, OR 97280-0029
(503) 246-7408
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00001048TX
WA
152WC0802X
Corneal and Contact Management Optometrist
1240ATI
OR
Other
Enumeration date
08/31/2006
Last updated
09/11/2025
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